Which condition is most likely a nurse reviewing a clients laboratory - ProProfs Discuss
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Which condition is most likely a nurse reviewing a clients laboratory report and notes that the serum calcium level is 4.0 mg/dL? The nurse understands that which condition most likely caused this serum calcium level?



A. Prolonged bed rest
B. Renal insufficiency
C. Hyperparathyroidism
D. Excessive ingestion of vitamin D
Asked by Halifax, Last updated: Jul 01, 2019

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4 Answers

John Adney

John Adney

Answered on Feb 09, 2017

My nursing book states that prolonged immobility= HYPERcalcemia. Which makes sense to me if you aren't using those muscle croups and utilizing calcium for muscle contraction then it is building up...no?
 Reply

selzlindsay

Selzlindsay

Answered on Feb 09, 2017

My nursing book states that prolonged immobility= HYPERcalcemia. Which makes sense to me if you aren't using those large muscle groups and utilizing calcium for muscle contraction then it is building up leading to HYPERcalcemia
 Reply

John Adney

Prolonged bed rest will lead to hypercalcemia not hypo
 Reply

John Smith

John Smith

Answered on Sep 08, 2016

Prolonged bed rest-rationale: the normal serum calcium level is 8.6 to 10.0 mg/dl. a client with a serum calcium level of 4.0 mg/dl is experiencing hypocalcemia. the excessive ingestion of vitamin d and hyperparathyroidism are causative factors associated with hypercalcemia. end-stage renal disease, rather than renal insufficiency, is a cause of hypocalcemia. prolonged bed rest is a cause of hypocalcemia. although immobilization initially can cause hypercalcemia, the long-term effect of prolonged bed rest is hypocalcemia.test-taking strategy: note the strategic words most likely. first, you must determine that the client is experiencing hypocalcemia. this should assist in eliminating option d. next, you must recall the causative factors associated with hypocalcemia to direct you to option a. if you had difficulty with the question, review the causative factors associated with hypocalcemia.
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