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nurse2mrow nurse2mrow
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Posts: 7336
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9 years ago
The nurse observes that the handgrip of the client with hypophosphatemia has diminished in strength since the last assessment 2 hours ago. What is the nurse’s best first action?
A.   Document the finding as the only action.
B.   Assess respiratory status immediately.
C.   Apply elastic wraps to the lower extremities.
D.   Assess deep tendon reflexes.
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Staff Member
Educator
9 years ago
B
Decreased handgrip strength indicates worsening of the hypophosphatemia and general muscle weakness. Muscle weakness can impair respiratory effort and reduce gas exchange to the point that the client becomes hypoxemic.
Mastering in Nutritional Biology
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nurse2mrow Author
wrote...
9 years ago
Thank you for this, it helped me understand it perfectly.
wrote...
Staff Member
Educator
9 years ago
Hey, no worries.
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