The nurse review lab values of a female client with metastatic breast cancer and notes that the client’s serum calcium level is 14 mg/dL. The client is weak, fatigued, and depressed. New prescriptions include increasing the rate of intravenous fluids. Which action should the nurse take first?

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Question 1 of 5

The nurse review lab values of a female client with metastatic breast cancer and notes that the client’s serum calcium level is 14 mg/dL. The client is weak, fatigued, and depressed. New prescriptions include increasing the rate of intravenous fluids. Which action should the nurse take first?

Correct Answer: A

Rationale: Hypercalcemia (14 mg/dL, normal 8.5-10.2) requires urgent IV fluids to dilute calcium and prevent arrhythmia. Others follow. [Level: Analysis]

Question 2 of 5

What topic should the nurse anticipate teaching a patient who had a brief episode of tinnitus, diplopia, and dysarthria with no residual effects?

Correct Answer: C

Rationale: Symptoms suggest TIA; aspirin prevents recurrence. Others are for different conditions. [Level: Application]

Question 3 of 5

A 70-yr-old female patient with left-sided hemiparesis arrives by ambulance to the emergency department. Which action should the nurse take first?

Correct Answer: B

Rationale: Airway/breathing (respiratory effort) is the priority per ABCs in acute stroke. CT (D) follows stabilization. [Level: Analysis]

Question 4 of 5

A RN is admitting a pt with a thrombotic stroke. The pt is NPO BUT requesting a drink of water. Which response by the RN is appropriate?

Correct Answer: D

Rationale: Stroke risks dysphagia; swallow assessment prevents aspiration. A risks harm, B/C are partial truths. [Level: Application]

Question 5 of 5

Which aspects of the medical history of a female patient are risk factors for Stroke? SELECT ONE THAT APPLY

Correct Answer: B

Rationale: Oral contraceptives increase clot risk, a major stroke factor. D contributes, A/C are unrelated. [Level: Comprehension]

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