مريض كالسيوم الدم عنده ١٤٫٢ مع تشوش وجفاف. ما العلاج الأول المتوقع؟

A client has calcium 14.2 mg/dL with confusion and dehydration. What is the expected first treatment?

1. Fluid restriction to reduce load
2. IV normal saline
3. An oral thiazide diuretic
4. Calcium and vitamin D supplements

Answer: B) IV normal saline. Hypercalcaemia causes diuresis and dehydration; IV saline comes first, then drugs such as bisphosphonates according to cause. Thiazides raise calcium and are avoided.