Advanced Oncology Certified Nurse Practitioner (AOCNP) Certification Practice Test

What is a first-line treatment for hypercalcemia?

1. Exposure to sunlight

2. Medication review

3. Increased dietary calcium

4. Administration of potassium

The correct answer is: Medication review

The first-line treatment for hypercalcemia typically involves addressing the underlying cause, which can include medications that may contribute to elevated calcium levels. A medication review is crucial because certain drugs can lead to hypercalcemia, especially in cancer patients. By identifying and managing any contributing medications, healthcare providers can reduce or reverse hypercalcemia. This approach is often the starting point in treatment, as it allows for a targeted strategy to mitigate the condition. In contrast, exposure to sunlight, increased dietary calcium, and administration of potassium are not appropriate first-line treatments for hypercalcemia. Sunlight exposure does not influence calcium levels in a way that would counteract hypercalcemia. Increasing dietary calcium would exacerbate the situation, as it would further elevate calcium levels. Potassium administration is unrelated to the management of hypercalcemia and does not address the elevated calcium in the bloodstream. Understanding the importance of medication review in this context emphasizes the need for a comprehensive evaluation of the patient's treatment regimen in managing hypercalcemia effectively.