NursingPlex
    Sign In
    Hesi Med-surg proctored exam (MCPHS University)

    A client with hyperparathyroidism reports a sudden onset of severe flank pain. Which intervention should the nurse include in the client's plan of care (POC)?

    Explanation & Rationale

    Rationale: A. Administer a PRN dose of a laxative: Laxatives are not indicated for acute flank pain associated with hyperparathyroidism. They do not address the underlying cause, which may be renal calculi due to hypercalcemia. B. Initiate cardiac telemetry: While hyperparathyroidism can cause electrolyte disturbances that affect cardiac rhythm, sudden flank pain is more likely related to renal calculi rather than immediate cardiac issues, making telemetry lower priority. C. Begin straining all urine: Flank pain in a client with hyperparathyroidism often indicates nephrolithiasis (kidney stones). Straining urine allows for collection and analysis of stones, which is essential for confirming the diagnosis and guiding treatment. D. Implement seizure precautions: Seizure precautions are appropriate for clients at risk for severe electrolyte imbalances, but acute flank pain does not immediately suggest seizure risk, making this intervention unnecessary at this time.

    🔒 Submit your answer to reveal