A nurse is caring for a client on the medical-surgical unit. Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Explanation & Rationale
Rationale: Potential Condition: The client with acute pancreatitis developed positive Chvostek and Trousseau signs, both classic indicators of hypocalcemia. Pancreatitis often causes calcium to bind to necrotic fat (saponification), lowering serum calcium. Actions to Take: Increasing IV fluids may be prescribed to improve intravascular volume and help stabilize electrolytes. Requesting a STAT ECG is essential because hypocalcemia can prolong the QT interval and predispose to life-threatening arrhythmias. Parameters to Monitor: Intake and output helps assess hydration status, especially with diarrhea and ongoing fluid/electrolyte losses. Bowel sounds should be monitored because hypocalcemia may cause abdominal cramping and changes in GI motility.