Please help. I have to redo my concept map assignment and I have to get a high score or I fail out of the RN program. It's my second semester, and I've worked so hard. Here's what I have done so far but it seems to wordy and I fear I'm missing something? Can you help?
Priority Nursing Diagnosis
Risk for unstable blood calcium related to throidectomy secondary to thyroid cancer
#1_InterventionReview lab Ca+ levels as soon as received from lab for ↓ blood Ca+ as ordered by the MD.
#2_InterventionIf ↓ blood Ca+ is indicated administer Calcium Carbonate 500 mg 2 tabs t.i.d. per M.D.
#3_InterventionImmediate and ongoing (with every entrance into pts room) observation for signs and symptoms of hypocalcemia are indicated (i.e., tetany symptoms: muscular twitching and tremors, spasms of the larynx, paresthesia [tingling in and numbness of fingers], facial spasms, and spasmodic contractions).
[FONT=MS Shell Dlg 2]#4_InterventionIf no hypocalcemic signs appear, implement immediate q day or PRN for positive Chvostek's/Trousseau's signs e.g., spasms of the cheek and the corner of the lip, carpal spasms. Continue until lab result show Ca+ levels 8.5 - 10.0 mg/dl. [FONT=MS Shell Dlg 2][FONT=MS Shell Dlg 2]#5_InterventionOnce pt Ca+ has stabilized teach him to avoid overuse of antacids, avoid chronic laxative use, consume foods ↑in Ca+/protein, avoid hyperventilation/crossing his legs, and how he can observe for tetany symptoms
[FONT=MS Shell Dlg 2][FONT=MS Shell Dlg 2][FONT=MS Shell Dlg 2][FONT=MS Shell Dlg 2][FONT=MS Shell Dlg 2][FONT=MS Shell Dlg 2][FONT=MS Shell Dlg 2]#6_InterventionConfirm that pt understands instruction by having him explain in his own words all you have taught him.