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    Ati nurs 113 pharmacology proctored exam

    The home care nurse visits a client with a diagnosis of hyperparathyroidism who is taking furosemide and provides dietary instructions to the client. Which statement by the client indicates a need for additional instruction?

    Explanation & Rationale

    A. "I need to increase my intake of dietary items that are high in calcium.": Hyper-parathyroidism leads to elevated calcium levels in the blood due to overproduction of parathyroid hormone (PTH). Increasing calcium intake would exacerbate the condition. B. "I need to eat foods high in potassium.": Furosemide, a diuretic, can cause potassium loss through increased urination, so it is important to increase potassium intake. Foods like bananas, oranges, and potatoes are good sources of potassium. C. "I need to eat small, frequent meals and snacks if nauseated.": Nausea is a common symptom in hyperparathyroidism, and small, frequent meals can help prevent nausea and improve overall comfort and nutritional intake. D. "I need to drink at least 2 to 3 L of fluid daily.": Adequate hydration is important for kidney function and to help prevent kidney stones, which are a common complication in hyperparathyroidism due to high calcium levels.

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