A 63-year-old patient with primary hyperparathyroidism has a serum phosphorus level of 1.7 mg/dL (0.55 mmol/L) and calcium of 14 mg/dL (3.5 mmol/L). Which nursing action should be included in the plan of care?
a. Restrict the patient to bed rest.
b. Encourage 4000 mL of fluids daily.
c. Institute routine seizure precautions.
d. Assess for positive Chvostek's sign.
ANS: B
The patient with hypercalcemia is at risk for kidney stones, which may be prevented by a high fluid intake. Seizure precautions and monitoring for Chvostek's or Trousseau's sign are appropriate for hypocalcemic patients. The patient should engage in weight-bearing exercise to decrease calcium loss from bone.
You might also like to view...
How are vitamin E preparations used for treatment of the skin?
a. Add smoothness b. Hydrate c. Lighten d. Remove marks
A nurse is caring for a client who has been admitted with a fracture in his hand. How should the nurse assist the client to undress at the bedside?
A) Roll the client from side to side. B) Lift the client's head to guide the garment over it. C) Gather the garment and work it up and over the body. D) Ask the client to lift his hips to slide clothes up or down.
The nurse is assessing a patient's spirituality. What does the nurse recognize as one of the most important aspects of a belief system, according to Sharon Parks?
1. It is based on a foundation of truth and evidence as proved by science. 2. It is based on a foundation that is strong enough to handle the changes in religious beliefs. 3. It is based on a foundation that is strong enough to handle the changes and challenges of life. 4. It is based on a foundation of religious belief and practices as performed by those who follow it.
To gather data about a patient's judgment, which question would be most appropriate?
a. "What brought you to the hospital?" b. "On a scale of 1 to 100, what would you consider your stress level to be?" c. "What problem would you like to work on while you are hospitalized?" d. "If you found a stamped, addressed envelope lying in the street, what would you do with it?"