The nurse is caring for a client following a parathyroidectomy who develops tingling of the lips and a positive Trousseau's sign. Which of the following actions should the nurse take first?
A)Administer the ordered muscle relaxant.
B)Give the ordered oral calcium supplement.
C)Start the PRN oxygen at 2 L/minute per cannula.
D)Have the client rebreathe using a paper bag.

Question

Quizplus · Accepted Answer

The client's symptoms suggest mild hypocalcemia. The symptoms of hypocalcemia will be temporarily reduced by having the client breathe into a paper bag, which will raise the PaCO2 and create a more acidic pH. The muscle relaxant will have no impact on the ionized calcium level. Although severe hypocalcemia can cause laryngeal stridor, there is no indication that this client is experiencing laryngeal stridor or needs oxygen. Calcium supplements will be given to normalize calcium levels quickly, but oral supplements will take time to be absorbed.

The Nurse Is Caring for a Client Following a Parathyroidectomy