The nurse is developing a plan of care for a patient with hyperparathyroidism and a serum calcium level of 12.0 mg/dL. What should be included in the plan?
Select all that apply.
1. promoting ambulation and mobility
2. discussing a change from ordered thiazide diuretics to another type of diuretic with health care provider
3. teaching to increase daily oral intake of fluids
4. encouraging supplementation of fat-soluble vitamins
5. encouraging use of calcium-based antacids for indigestion
Correct Answer: 1, 2, 3
Treatment of hyperparathyroidism focuses on reducing elevated serum calcium levels. Patients with mild hypercalcemia are urged to avoid immobilization, thiazide diuretics, large doses of vitamins A and D, and antacids containing calcium. Patients with mild hypercalcemia are urged to increase fluid intake.
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