A patient reports experiencing weakness, fatigue, nausea, vomiting, constipation, and nocturia. Total serum calcium is 10.5 mg/dL. A dipstick urinalysis shows a positive result for protein
When questioned, the patient reports taking vitamin D and calcium supplements. The nurse will counsel the patient to: a. reduce the amount of vitamin D and stop taking the calcium.
b. discuss taking calcitonin-salmon [Fortical] with the provider.
c. stop both supplements and discuss the use of a diuretic with the provider.
d. stop taking vitamin D, reduce the amount of calcium, and increase the fluid intake.
D
Vitamin D toxicity can occur, and early responses include the symptoms described. Patients should be counseled to stop taking vitamin D, reduce their calcium intake, and increase their flu-id intake. It is not correct to reduce the vitamin D intake and the calcium intake. Calcito-nin-salmon is not indicated. A diuretic is indicated when hypercalciuria is severe.
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