help needed 4 nursing interventions order/parameters
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please tell me if i'm on the right track with my priority nursing interventions i.e., correct in order of importance, and proper time parameters for the following 6 nursing priority interventions. my priority nursing diagnosis is 'risk for unstable blood calcium related tothyroidectomy secondary to thyroid cancer'
#1 interventionmonitor vs q2h (bp and pulse) for aggravated arrhythmias, and hypotension
#2 interventionmonitor daily total serum calcium levels (normal is 8.0 mg/dl-10.4 mg/dl, panic level is
#3 interventionmonitor q day to see that baseline levels of the following have been established: serum phosphate (2.4 mg/dl-4.7 mg/dl, panic level is 5) and ionized calcium (4 to 5.6 mg/dl). if not, notify md and request orders for pt.
#4 interventionmonitor to see that pt is tolerating [vitamin d] (0.25 mcg t.i.d po) as per doctor's orders. if not, notify md and request orders for pt.
#5 interventionmonitor the patient q shift for any of the following signs/symptoms/complaints: vomiting, diarrhea, nervousness, weakness, paresthesias (a sensation of numbness, prickling, or tingling), muscle stiffness and muscle cramps in the face or fingers, headaches, dysphagia, abdominal pain
#6 interventionperform the following specific assessments q8h: chvostek's sign - tapping the person just in front of the earlobe & below the zygomatic arch and the corner of the mouth will produce twitching of that corner of the mouth to twitching of all facial muscles on that side of the face. trousseau's sign (carpopedal spasm) - a blood pressure cuff is inflated to between the diastolic and systolic pressures and allowed to remain inflated for 3 minutes while watching the patient for evidence of carpal spasm in that arm which is positive evidence of trousseau's sign if [+] signs appearnotify md and request orders for pt.