A patient with a history of stomach ulcers is diagnosed with hypophosphatemia. Which of the following interventions should the nurse include in this patient's plan of care?
1. Request dietitian consult for selecting foods high in phosphorous.
2. Provide aluminum hydroxide antacids as prescribed.
3. Instruct patient to avoid poultry, peanuts, and seeds.
4. Instruct patient to avoid the intake of sodium phosphate.
Request dietitian consult for selecting foods high in phosphorous.
Rationale: Treatment of hypophosphatemia includes treating the underlying cause and promoting a high-phosphate diet, especially milk, if it is tolerated. Other foods high in phosphate are dried beans and peas, eggs, fish, organ meats, Brazil nuts and peanuts, poultry, seeds, and whole grains. Phosphate-binding antacids, such as aluminum hydroxide, should be avoided. Mild hypophosphatemia may be corrected by oral supplements, such as sodium phosphate.
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