A nurse plans care for a client with hyperparathyroidism. Which intervention should the nurse include in this client's plan of care?
a. Ask the client to ambulate in the hallway twice a day.
b. Use a lift sheet to assist the client with position changes.
c. Provide the client with a soft-bristled toothbrush for oral care.
d. Instruct the unlicensed assistive personnel to strain the client's urine for stones.
ANS: B
Hyperparathyroidism causes increased resorption of calcium from the bones, increasing the risk for pathologic fractures. Using a lift sheet when moving or positioning the client, instead of pulling on the client, reduces the risk of bone injury. Hyperparathyroidism can cause kidney stones, but not every client will need to have urine strained. The priority is preventing injury. Ambulating in the hall and using a soft toothbrush are not specific interventions for this client.
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