A nurse is assessing clients on a medical-surgical unit. Which clients are at increased risk for hypophosphatemia? (Select all that apply.)
a. A 36-year-old who is malnourished
b. A 42-year-old with uncontrolled diabetes
c. A 50-year-old with hyperparathyroidism
d. A 58-year-old with chronic renal failure
e. A 76-year-old who is prescribed antacids
ANS: A, B, E
Clients at risk for hypophosphatemia include those who are malnourished, those with uncontrolled diabetes mellitus, and those who use aluminum hydroxide-based or magnesium-based antacids. Hyperparathyroidism and chronic renal failure are common causes of hyperphosphatemia.
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