The nurse is developing a plan of care for a home care patient who has hyperparathyroidism and a serum calcium level of 12.0 mg/dL
Which measures should be included in the plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Promote patient ambulation and mobility.
2. Remind the patient to avoid activities that increase the risk for falls or injuries.
3. Teach the patient to increase daily oral intake of fluids.
4. Advise the patient to contact the health care provider if continual thirst is noted.
5. Encourage the use of calcium-based antacids for indigestion.
1,2,3,4
Rationale 1: Maintaining mobility will assist in recalcification.
Rationale 2: Patients with hyperparathyroidism are at risk for fracture.
Rationale 3: A diet with adequate fiber and fluid will promote normal bowel function.
Rationale 4: Being constantly thirsty is a sign of calcium imbalance and should be reported.
Rationale 5: Patients with mild hypercalcemia are urged to avoid antacids containing calcium.
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