The nurse is caring for a client with hypercalcemia. Which of the following actions would be included in the client's nursing care plan?
A)Maintain the client on bed rest.
B)Auscultate lung sounds every 4 hours.
C)Monitor for Trousseau's and Chvostek's signs.
D)Encourage fluid intake up to 3 000 mL every day.

Question

Quizplus · Accepted Answer

To decrease the risk for renal calculi, the client should have an intake of 3 000 mL daily. Ambulation helps decrease the loss of calcium from bone and is encouraged in clients with hypercalcemia. Trousseau's and Chvostek's signs are monitored when there is a possibility of hypocalcemia. There is no indication that the client needs frequent assessment of lung sounds, although these would be assessed every shift.

The Nurse Is Caring for a Client with Hypercalcemia