What should a nurse do when finding a client with a serum calcium level of 14 mg/dL?

When a nurse encounters a serum calcium level of 14 mg/dL, which is significantly higher than the normal range (typically 8.5 to 10.5 mg/dL), it is crucial to notify the physician promptly. Hypercalcemia can lead to a variety of serious complications, including cardiac dysrhythmias, neuromuscular issues, and even renal impairment. Immediate medical assessment and intervention are necessary to address the underlying cause and to prevent further deterioration of the patient's condition.

Timely communication with the physician ensures that appropriate treatments, such as intravenous fluids, medications to lower calcium levels, or investigations to determine the source of the hypercalcemia, can be initiated without delay. This step is critical in maintaining patient safety and promoting optimal outcomes in the face of potentially life-threatening levels of calcium in the blood.