Electrolytes Question #48

Question

A client is receiving an intravenous infusion containing calcium. For which potential adverse reaction should the nurse monitor the client? Select all that apply.

Answers

  1. Tingling
    • Rationale:
  2. Chalky taste
    • Rationale:
  3. Extravasation at site of infusion
    • Rationale:
  4. Dry skin
    • Rationale:
  5. Hair falling out
    • Rationale:

Overview

Explanation

The correct answer is A, B & C. Adverse effects of a calcium infusion include tingling, chalky taste, extravasation at the sight of the infusion, and a slowed heart rate. Dry skin and hair loss are not adverse effects of a calcium infusion. Should an adverse reaction occur, the infusion should be stopped and the healthcare provider notified.

NCLEX TIP: When answering select all that apply (SATA) questions, look at each answer option and ask yourself if the response is true or false. When looking at the questions, watch for any negative NCLEX words, which will lead the nurse to do the “wrong” tasks. These words may include always, never, ever, no, don’t, do not, etc. Always remember the ABC’s and Maslow’s hierarchy. Common words and phrases in the question should always be noted, and note when to delegate and not to delegate. Never delegate a nursing task that requires an order, requires a higher intervention, or the client is unstable. And always remember an unstable client before a stable client.

Learning Outcomes

Test Taking Tip

Video Rationale