NursingPlex
    Sign In
    Swedish Institute College Of Health Sciences Medical Surgical Proctored Exam

    A patient diagnosed with hyperparathyroidism is being managed for hypercalcemia. Which intervention should the nurse prioritize to mitigate the risk of complications associated with this condition?

    Explanation & Rationale

    Rationale: A. Hypercalcemia increases the risk of kidney stones, nephrocalcinosis, and cardiac dysrhythmias. Administering IV fluids (usually normal saline) promotes hydration and renal calcium excretion, helping to rapidly lower serum calcium levels and prevent acute complications. This is a priority nursing intervention in the acute management of hypercalcemia. B. Increasing calcium intake would worsen hypercalcemia and exacerbate complications. Patients with hyperparathyroidism are usually advised to limit excessive calcium intake. C. While surgical removal of overactive parathyroid tissue is the definitive treatment for primary hyperparathyroidism, it is not an immediate nursing intervention to manage hypercalcemia. Surgery is considered after stabilization and further evaluation. D. Administering calcium would directly increase serum calcium levels, which is contraindicated in a patient already experiencing hypercalcemia.

    🔒 Submit your answer to reveal