What measure is important in managing hypercalcemia in a child who is immobilized?
a. Provide adequate hydration.
b. Change position frequently.
c. Encourage a diet high in calcium.
d. Provide a diet high in calories for healing.
ANS: A
Vigorous hydration is indicated to prevent problems with hypercalcemia. Suggested intake for an adolescent is 3000 to 4000 ml/day of fluids. Diuretics are used to promote the removal of calcium. Changing position is important for skin and respiratory concerns. Calcium in the diet is restricted when possible. A high-protein diet served as frequent snacks with favored foods is recommended. A high-calorie diet without adequate protein will not promote healing
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