Medical Surgical Calcium Ca+ #1

Question

The nurse is caring for a group of clients. Which clients would the nurse identify as being at risk for developing hypercalcemia? Select all that apply.

Answers

  1. The client who has steatorrhea.
    • Rationale:

      This answer is not correct because steatorrhea is the inability to digest fat and is not associated with hypercalcemia. Risk factors for the development of hypercalcemia include malignancy and the overuse of antacids.

  2. The client with a malignancy.
    • Rationale:

      This answer is correct because clients with a malignancy are likely to have hypercalcemia due to the excessive secretion of parathyroid hormone. Malignancy-induced hypercalcemia is also termed humoral hypercalcemia.

  3. The client who overuses antacids.
    • Rationale:

      This answer is correct because many antacids are calcium salts, and overusing them can increase calcium levels to cause hypercalcemia. Risk factors for the development of hypercalcemia include malignancy and the overuse of antacids.

  4. The client who is prescribed diuretics.
    • Rationale:

      This answer is not correct because the use of diuretics is likely to cause hypocalcemia, not hypercalcemia. Risk factors for the development of hypercalcemia include malignancy and the overuse of antacids.

  5. The client who has a positive Chvostek sign.
    • Rationale:

      This answer is not correct because having a positive Chvostek’s sign is associated with hypocalcemia, not hypercalcemia. Risk factors for the development of hypercalcemia include malignancy and the overuse of antacids.

Overview

Hypercalcemia is a condition in which the serum calcium level is above normal. Too much calcium in the blood can weaken bones, create kidney stones, and interfere with heart and brain function.

Explanation

Learning Outcomes

Hypercalcemia is a condition in which the serum calcium level is above normal.Too much calcium in the blood can weaken bones, create kidney stones, and interfere with heart and brain function. Symptoms of hypercalcemia range from mild to severe and may include abdominal pain, bone pain, confusion, fatigue, increased thirst and urination, and muscle weakness. Risk factors for the development of hypercalcemia include malignancy and the overuse of antacids.

Test Taking Tip

When answering select all that apply (SATA) questions, look at each answer option and ask yourself if the response is true or false.

Video Rationale