The nurse is caring for a client with primary hyperparathyroidism who has a serum calcium level of 3.5 mmol/L and a phosphorus of 0.55 mmol/L. Which of the following nursing actions should the nurse include in the plan of care?
A)Institute routine seizure precautions.
B)Monitor for positive Chvostek's sign.
C)Encourage the client to remain on bed rest.
D)Encourage 3 000-4 000 mL of oral fluids daily.

Question

Quizplus · Accepted Answer

The client with hypercalcemia is at risk for kidney stones, which may be prevented by a high fluid intake. Seizure precautions and monitoring for Chvostek's or Trousseau's sign are appropriate for hypocalcemic clients. The client should engage in weight-bearing exercise to decrease calcium loss from bone.

The Nurse Is Caring for a Client with Primary Hyperparathyroidism