You are a hospice nurse caring for a patient with cancer in her home. You have explained to the patient and the family that the patient is at risk for hypercalcemia. You have educated them on that signs and symptoms of hypercalcemia
What else would you teach this patient and family to do to reduce the risk of hypercalcemia?
A) Stool softeners are contraindicated.
B) Laxatives should be taken daily.
C) Consume 2 to 4 L of fluid daily.
D) Restrict calcium intake.
Ans: C
Feedback: Identify patients at risk for hypercalcemia and assess for signs and symptoms of hypercalcemia. Educate the patient and family; prevention and early detection can prevent fatality. Teach at-risk patients to recognize and report signs and symptoms of hypercalcemia. Encourage patients to consume 2 to 4 L of fluid daily unless contraindicated by existing renal or cardiac disease. Explain the use of dietary and pharmacologic interventions such as stool softeners and laxatives for constipation. Advise patients to maintain nutritional intake without restricting normal calcium intake.
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