A patient with a serum phosphate level of 1.1 mg/dL is receiving IV sodium phosphate.When administering sodium phosphate, a nurse should monitor closely for:
A)Laryngeal stridor, dysphagia, and circumoral numbness
B)Lethargy, decreased deep tendon reflexes, and somnolence
C)Nausea, vomiting, and diarrhea
D)Weakness, confusion, and constipation

Question

Quizplus · Accepted Answer

IV sodium phosphate administration can cause hyperphosphatemia and subsequent hypocalcemia, leading to symptoms such as laryngeal stridor, dysphagia, and circumoral numbness which are indicative of severe hypocalcemia. The nurse should also monitor for other symptoms such as tetany, seizures, and cardiac arrhythmias.

A Patient with a Serum Phosphate Level of 1