A nurse evaluates the following laboratory results for a client who has hypoparathyroidism:
Calcium
7.2 mg/dL
Sodium
144 mEq/L
Magnesium
1.2 mEq/L
Potassium
5.7 mEq/L
Based on these results, which medications should the nurse anticipate administering? (Select all that apply.)
a.
Oral potassium chloride
b.
Intravenous calcium chloride
c.
3% normal saline IV solution
d.
50% magnesium sulfate
e.
Oral calcitriol (Rocaltrol)
ANS: B, D
The client has hypocalcemia (treated with calcium chloride) and hypomagnesemia (treated with magnesium sulfate). The potassium level is high, so replacement is not needed. The client's sodium level is normal, so hypertonic IV solution is not needed. No information about a vitamin D deficiency is evident, so calcitriol is not needed.
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