The patient has a serum phosphate level of 4.7 mg/dL. Which interdisciplinary treatments would the nurse expect for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Question

Select all that apply. 1. Correction of calcium level
2. Calcium-containing antacids
3. IV potassium phosphate
4. Higher milk intake
5. Increased vitamin D intake

Answer 1

1,2
Rationale 1: Correcting hypocalcemia may reduce the phosphate level.
Rationale 2: A serum phosphate level of 4.7 mg/dL indicates hyperphosphatemia. Calcium-containing antacids bind the phosphate for excretion through the GI tract.
Rationale 3: A serum phosphate level of 4.7 mg/dL indicates hyperphosphatemia. IV potassium phosphate is a treatment for low phosphate.
Rationale 4: A serum phosphate level of 4.7 mg/dL indicates hyperphosphatemia. Milk is a high-phosphate food and should be discouraged.
Rationale 5: A serum phosphate level of 4.7 mg/dL indicates hyperphosphatemia. Excess vitamin D increases phosphate absorption and can lead to hyperphosphatemia.