Which of the following nursing diagnoses would the nurse include as the highest priority in the discharge teaching for a client with hypoparathyroidism?
1. Risk for Injury
2. Altered Nutrition
3. Impaired Mobility
4. Risk for Infection
Risk for Injury
Rationale: Discharge priorities for patients with parathyroid disease are focused on safety related to falls and fracture prevention. Follow-up home visits are warranted to assess how the client has modified the environment to enhance safety. Altered nutrition is included because the client will need to be instructed on the intake of vitamin D in the diet, but it is not the priority. Mobility is not affected with this disorder unless the client develops bone fractures related to the low levels of calcium; the question does not imply that the client has bone fractures. Risk for infection is not the priority for these clients.
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