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    Ati lpn med surg midterm proctored exam

    What dietary education should the nurse provide for a patient with hypocalcemia?

    Explanation & Rationale

    A. Restrict vitamin D supplements: Vitamin D is essential for the intestinal absorption of calcium; therefore, restricting it would exacerbate the patient's hypocalcemic state. Vitamin D and calcium have a synergistic relationship required for bone mineralization and neuromuscular function. Supplementation is usually encouraged rather than restricted. B. Avoid foods high in potassium: Potassium and calcium are different electrolytes with distinct physiological roles. Restricting potassium does not assist in raising serum calcium levels and could lead to other imbalances like hypokalemia. Dietary management for hypocalcemia should focus specifically on calcium and vitamin D intake. C. Include processed foods in the diet: Processed foods are often high in sodium and phosphorus, which can interfere with calcium balance or lead to increased urinary calcium excretion. These foods typically lack the dense micronutrient profile needed for therapeutic electrolyte replacement. They are generally discouraged in a heart-healthy or mineral-balanced diet. D. Increase consumption of dairy products and leafy greens: Dairy products are rich in bioavailable calcium, while certain leafy greens provide supplemental amounts of this essential mineral. Adequate calcium intake is vital for preventing tetany, seizures, and cardiac arrhythmias associated with low serum levels. This is the primary dietary intervention for restoring mineral homeostasis.

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