A patient with a history of stomach ulcers is diagnosed with hypophosphatemia. Which intervention should the nurse include in this patient's plan of care?
1. Request a dietitian consult to select foods high in phosphorous.
2. Provide aluminum hydroxide antacids as prescribed.
3. Instruct the patient to avoid poultry, peanuts, and seeds.
4. Instruct the patient to avoid the intake of sodium phosphate.
1
Rationale 1: Treatment of hypophosphatemia includes treating the underlying cause and promoting a high-phosphate diet, especially milk if it is tolerated. Other foods high in phosphate are dried beans and peas, eggs, fish, organ meats, Brazil nuts and peanuts, poultry, seeds, and whole grains.
Rationale 2: Phosphate-binding antacids, such as aluminum hydroxide, should be avoided.
Rationale 3: Poultry, peanuts, and seeds are part of a high-phosphate diet.
Rationale 4: Mild hypophosphatemia may be corrected with oral supplements, such as sodium phosphate.
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