HESI RN Exit Proctored Exam
Select All That Apply
The nurse is managing the care for a client with hyperparathyroidism, and is reviewing the client's list of prescribed and over-the-counter medications. Which medication(s) on the client's current medication record should the nurse discuss further with the healthcare provider? Select all that apply.
Explanation & Rationale
A. Lithium can increase parathyroid hormone (PTH) levels, worsening hyperparathyroidism. B. Hydrochlorothiazide can raise calcium levels, further exacerbating hypercalcemia in hyperparathyroidism. C. Sodium phosphate supplements can lower calcium levels, which may actually help, so it does not require immediate discussion. D. Calcium carbonate can contribute to hypercalcemia and should be used cautiously. E. Acetaminophen is safe and does not affect calcium levels.
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