Medical Surgical Calcium Ca+ #7

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. Dry skin
    • Rationale:

      This answer is not correct because dry skin is not an adverse effect of a calcium infusion. Adverse effects of a calcium infusion include tingling, chalky taste, extravasation at the sight of the infusion, and a slowed heart rate.

  2. Tingling
    • Rationale:

      This answer is correct because a tingling sensation is a noted adverse reaction to the administration of a calcium infusion; therefore, the nurse monitors for this reaction when assessing this client. Other adverse effects of a calcium infusion include chalky taste, bradycardia, and extravasation at the sight of the infusion.

  3. Chalky taste
    • Rationale:

      This answer is correct because a chalky taste in the mouth is a noted adverse reaction to the administration of a calcium infusion; therefore, the nurse monitors for this reaction when assessing this client.

  4. Hair falling out
    • Rationale:

      This answer is not correct because alopecia (i.e., hair loss) is not an adverse effect of a calcium infusion. Adverse effects of a calcium infusion include tingling, chalky taste, extravasation at the sight of the infusion, and a slowed heart rate.

  5. Extravasation at site of infusion
    • Rationale:

      This answer is correct because extravasation is defined as the leakage of fluid from the blood vessel into the surrounding tissue. Calcium can cause tissue necrosis if extravasation occurs; therefore, the nurse monitors the client for this reaction when administering a calcium infusion.

Overview

An adverse medication reaction is defined as any unexpected or dangerous reaction to a drug. The nurse is responsible for monitoring clients for adverse reactions that can occur as a result of medication administration.

Explanation

Learning Outcomes

The nurse is responsible for monitoring clients for adverse reactions that can occur as a result of medication administration. Should an adverse reaction occur, the infusion should be stopped immediately and the healthcare provider notified. Intravenous calcium may be prescribed as a treatment for hypocalcemia (i.e., low serum calcium levels). Adverse effects of a calcium infusion include tingling, chalky taste, extravasation at the sight of the infusion, and a slowed heart rate.

Test Taking Tip

When answering select all that apply (SATA) questions, look at each answer option and ask yourself if the response is true or false.

Video Rationale