A patient taking calcium carbonate and vitamin D reports nausea, constipation and increased thirst. Which action should the nurse take?
Correct answer: A. Report possible hypercalcaemia and review the supplements
- A. Report possible hypercalcaemia and review the supplements
- B. Give an additional calcium tablet with fruit juice
- C. Tell the patient these symptoms prove treatment is working
- D. Replace vitamin D with an extra dose of levothyroxine
Explanation
Excess calcium or vitamin D can produce hypercalcaemia, with constipation, nausea, thirst and polyuria among possible findings. The nurse should report the symptoms and review the prescribed doses rather than giving more calcium.
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About Endocrine and Diabetes Drugs
Endocrine pharmacology includes insulin preparations, oral antidiabetic drugs, thyroid and antithyroid medicines, corticosteroids, sex hormones and drugs affecting calcium balance. Questions address onset and duration, administration, monitoring, hypoglycaemia, steroid adverse effects and the difference between replacing a deficient hormone and suppressing excessive hormone activity.
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