The nurse is planning care for a client diagnosed with hypercalcemia caused by hyperparathyroidism. Which of the following should the nurse add as interventions to this client's care plan? (Select all that apply.)
1. Administer high volume intravenous fluids as prescribed.
2. Monitor arterial blood gases.
3. Calculate sodium chloride intake to achieve 400 mEq each day.
4. Provide low rates of intravenous fluids.
5. Provide thyroid replacement medication orally.
6. Monitor body temperature.
1, 3
Management of fluid and electrolytes is the priority for a client diagnosed with hypercalcemia caused by hyperparathyroidism. The client needs intensive hydration with intravenous normal saline. The nurse also needs to ensure that the client receives greater than 400 mEq of sodium chloride each day. The other answer choices are interventions appropriate for a client diagnosed with myxedema.
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