The nurse is reviewing care needs for a group of assigned patients. Which patients should the nurse identify as being at risk for the development of hypercalcemia?

Question

Select all that apply.
1. the patient with a malignancy
2. the patient taking lithium
3. the patient who uses sunscreen to excess
4. the patient with hyperparathyroidism
5. the patient who overuses antacids

Answer 1

Correct Answer: 1, 2, 4, 5
Patients with malignancy are at risk for development of hypercalcemia due to destruction of bone or the production of hormone-like substances by the malignancy. Lithium and overuse of antacids can result in hypercalcemia. Hypercalcemia can result from hyperparathyroidism, which causes release of calcium from the bones, increased calcium absorption in the intestines and retention of calcium by the kidneys. The patient who uses sunscreen to excess is more likely to have a vitamin D deficiency, which would result in hypocalcemia.