A patient has a serum phosphate level of 4.7 mg/dL. Which treatments should the nurse expect to be prescribed for this patient?
Select all that apply.
1. IV normal saline
2. calcium-containing antacids
3. IV potassium phosphate
4. additional milk intake
5. increased vitamin D intake
Correct Answer: 1, 2
Serum phosphate level of 4.7 mg/dL indicates hyperphosphatemia. IV normal saline promotes renal excretion of phosphate. Calcium-containing antacids bind the phosphate for excretion through the GI tract. IV potassium phosphate is a treatment for low phosphate. Milk is a high phosphate food and should be discouraged. Excess vitamin D increases phosphate absorption and can lead to hyperphosphatemia.
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