A client is admitted with hypocalcemia. What are possible causes of hypocalcemia?(Select all that apply.)

1. Parathyroidectomy
2. Hypertension
3. Vitamin D deficiency
4. Heart failure
5. Malabsorption disorder


1, 3, 5

Rationale 1: One common cause is hyposecretion of PTH, which occurs when the thyroid and parathyroid glands are surgically removed.
Rationale 2: Hypertension is not a cause of hypocalcemia.
Rationale 3:Digestion-related malabsorption disorders and vitamin D deficiencies also result in hypocalcemia.
Rationale 4: Heart failure is not a cause of hypocalcemia.
Rationale 5:Digestion-related malabsorption disorders and vitamin D deficiencies also result in hypocalcemia.

Global Rationale: Hypocalcemia is not a disease, but a sign of underlying pathology; therefore, diagnosis of the cause of hypocalcemia is essential. One common cause is hyposecretion of PTH, which occurs when the thyroid and parathyroid glands are surgically removed. Digestion-related malabsorption disorders and vitamin D deficiencies also result in hypocalcemia. Hypertension is not a cause of hypocalcemia. Heart failure is not a cause of hypocalcemia.

Nursing

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