A patient is being discharged with treatment for long-term hypoparathyroidism. What should the nurse include in discharge teaching? (Select all that apply.)

a. Eat a diet high in calcium.
b. Have regular eye examinations.
c. Eat a diet high in phosphates.
d. Follow up with regular laboratory tests.
e. Take oral calcium and vitamin D supplements as prescribed.
f. Add iron-rich foods to your diet.


ANS: A, B, D, E
A high calcium diet with calcium supplements is necessary to maintain serum calcium levels. Eye examinations are important because calcifications can occur in the eyes, and cataracts can develop. A high-phosphate diet may lower serum calcium. Follow-up laboratory tests are important to be sure the calcium level is normal. Hypoparathyroidism will not alter iron stores; increased intake of iron-rich foods is not necessary.

Nursing

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