A nurse notes that a patient who has hypoparathyroidism has a serum calcium level of 4.2 mg/dL. This finding would help reinforce which nursing diagnosis?
1. Risk for Injury
2. Chronic Confusion
3. Risk for Altered Tissue Perfusion: Renal
4. Impaired Gas Exchange
1
Rationale 1: The patient with hypocalcemia is at risk for injury from possible laryngospasm, cardiac dysrhythmias, or convulsions. The nurse must frequently monitor airway and respiratory status, cardiovascular status, and neurological status.
Rationale 2: Chronic Confusion is not associated with hypoparathyroidism.
Rationale 3: Altered Tissue Perfusion: Renal would be a greater risk in the patient with high calcium levels.
Rationale 4: Impairment of gas exchange is not associated with hypoparathyroidism.
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