Page 1396 - Saunders Comprehensive Review For NCLEX-RN

1. Description: Condition caused by hypersecretion of
parathyroid hormone (PTH) by the parathyroid gland
2. Assessment

a. Hypercalcemia and

hypophosphatemia
b. Fatigue and muscle weakness
c. Skeletal pain and tenderness

d. Bone deformities that result in

pathological fractures
e. Anorexia, nausea, vomiting, epigastric
pain
f. Weight loss
g. Constipation
h. Hypertension
i. Cardiac dysrhythmias
j. Renal stones

3. Interventions

a. Monitor vital signs, particularly blood
pressure.
b. Monitor for cardiac dysrhythmias.
c. Monitor intake and output and for signs
of renal stones.
d. Monitor for skeletal pain; move the
client slowly and carefully.
e. Encourage fluid intake.
f. Administer furosemide as prescribed to
lower calcium levels.
g. Administer NS intravenously as
prescribed to maintain hydration.
h. Administer phosphates, which interfere
with calcium reabsorption, as
prescribed.
i. Administer calcitonin as prescribed to
decrease skeletal calcium release and
increase renal excretion of calcium.
j. Administer IV or oral bisphosphonates
to inhibit bone resorption.
k. Monitor calcium and phosphorus
levels.
l. Prepare the client for
parathyroidectomy as prescribed.
m. Encourage a high-fiber, moderate-
calcium diet.
n. Emphasize the importance of an

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