A client has hypercalcemia and is admitted for a work-up. During the diagnostic period, which nursing intervention(s) would be most important to add to the care plan? (Select all that apply.)
a. Encourage weight-bearing activities.
b. Institute safety precautions.
c. Instruct client to report nightmares.
d. Place client on fluid restriction.
e. Turn and position client carefully.
A, B, E
Once a hypercalcemic crisis has passed, nursing interventions focus on safety for the client and teaching. The client is at risk of fractures and so safety precautions are required. Fractures can occur with minimal force; even turning and repositioning the client can fracture a bone, so this must be done carefully. However, weight-bearing activities help limit calcium loss from the bone, so these activities should be encouraged as the client is able with appropriate precautions to prevent injury. Nightmares are unrelated to hypercalcemia, and to prevent renal stones from forming, clients should force fluids if not contraindicated.
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