A 65-year-old female patient tells a nurse that she has begun taking calcium supplements. The nurse learns that the patient consumes two servings of dairy products and takes 1200 mg in cal-cium supplements each day
The patient's serum calcium level is 11.1 mg/dL. What will the nurse tell this patient? a. She should increase her dietary calcium in addition to the supplements
b. The amount of calcium she takes increases her risk for heart attack and stroke
c. To continue taking 1200 mg of calcium supplement since she is over age 50
d. To supplement her calcium with 10,000 units of vitamin D each day
B
Women older than 50 years need 1200 mg of calcium per day. Patients should take only enough supplemental calcium to make up for the difference between what the diet provides and the RDA. This patient is getting 1800 mg/day. Excess supplemental calcium can increase risks for vascular calcification, MI, stroke, and kidney stones. She does not need to increase calcium intake. Supplementing with 10,000 units of vitamin D is indicated for documented vitamin D deficiency, which is not evident in this case.
You might also like to view...
A nurse is working with a patient who has a diagnosis of obsessive-compulsive personality disorder. It is important for the nurse and patient to discuss:
1. The effect of anger on perfectionism 2. The need to feel superior 3. The link between anxiety and perfectionism 4. The need for medication
A nurse is concerned that a client is not eating a sufficient amount. Which assessment findings would support this concern?
1. The client complains of weakness. 2. The client's muscles appear wasted. 3. The client doesn't remember what day it is. 4. The client's subcutaneous fat layer is thinner. 5. The client's skin is oily.
A consultation relationship is built on expectations. Discussing the terms of a consultation contract makes expectations explicit, reduces the likelihood of violations of contract terms, and reduces the risk of additional demands being made on either part
Areas to include in a written contract include which of the following? Select all that apply. 1. Number of students involved in the project 2. Client and consultant goals 3. Time commitments 4. Intervention strategies suggested
The telephone triage nurse receives a call from a parent who describes a crowing sound when the 18-month-old breathes and the child is hard to wake up. Which is the appropriate nursing action?
1. Making an appointment for the child to see the healthcare provider 2. Obtaining the history of the illness from the parent 3. Advising the parent to hang up and call 911 4. Reassuring the parent and providing instructions on home care for the child