What is the priority action for a nurse caring for a patient with hyperparathyroidism who is tachycardic and has a shortened QT interval?

In the context of a patient with hyperparathyroidism who is exhibiting tachycardia and a shortened QT interval, notifying the primary healthcare provider (PHCP) is the priority action. This condition suggests potential complications related to hyperparathyroidism, such as hypercalcemia, which can lead to significant cardiac effects, including arrhythmias.

The shortened QT interval can indicate changes in electrolyte balance, particularly calcium levels, and calls for immediate medical evaluation to guide further treatment. Elevated calcium levels often require intervention, and timely communication with the PHCP ensures that the patient receives appropriate care, which may include medications or treatments to stabilize electrolyte levels and manage the associated symptoms.

While encouraging dietary changes, holding medications, or assessing for specific signs are important nursing actions, they do not take priority over the need to address the immediate complexities presented by the patient’s biochemical and hemodynamic status. Swift action to inform the PHCP allows for a timely assessment and intervention, which is critical in managing the potential health risks associated with hyperparathyroidism complications.