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    HESI RN EXIT 3 PROCTORED EXAMQuestion 105
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    HESI RN EXIT 3 PROCTORED EXAM

    Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

    Explanation & Rationale

    Hypocalcemia: - Condition: Hypocalcemia is a condition characterized by low levels of calcium in the blood. In newborns and infants, this can occur due to inadequate intake or absorption of calcium, and it can manifest as seizures. - Rationale: The infant was fed cow's milk, which is not recommended for infants under one year old and can interfere with calcium absorption, possibly leading to hypocalcemia. Seizures can be a symptom of severe hypocalcemia. Actions to Take: 1. Administer oral calcium: - Rationale: Direct administration of calcium helps to quickly elevate calcium levels in the blood, addressing the immediate cause of the seizures. 2. Educate the mother on nutrition needs: - Rationale: It's important to educate the mother on the appropriate nutritional needs for an infant, emphasizing the importance of breastfeeding or formula feeding instead of cow's milk, to prevent recurrence. Parameters to Monitor: 1. Electrocardiogram: - Rationale: Monitoring the ECG is crucial as hypocalcemia can cause cardiac arrhythmias, and the ECG can provide real-time information about the infant's cardiac status. 2. Oxygen saturation: - Rationale: Monitoring oxygen saturation ensures that the infant maintains adequate oxygenation, especially after a seizure and during recovery, to detect any respiratory complications early.

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