Which nursing intervention is least appropriate for treating a patient with elevated calcium due to multiple myeloma?

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Introducing a high-calcium diet is the least appropriate intervention for a patient with elevated calcium levels due to multiple myeloma. This condition is often associated with hypercalcemia, which occurs when cancer cells produce substances that increase the levels of calcium in the blood. Raising dietary calcium intake in this context can exacerbate the problem, leading to further complications such as kidney dysfunction, confusion, and cardiac issues.

Instead, the other interventions aim to manage hypercalcemia effectively. Infusion of bisphosphonate zoledronate helps to reduce bone resorption and lower calcium levels in the blood, effectively addressing one of the underlying issues in multiple myeloma. Encouraging increased fluid intake is vital in preventing kidney damage and promoting the excretion of excess calcium. Monitoring electrolytes closely is essential for assessing the patient's condition and guiding treatment decisions, ensuring timely interventions in case of worsening hypercalcemia.

Overall, avoiding a high-calcium diet is crucial in managing the patient's health in the context of multiple myeloma, where elevated calcium levels need careful management.

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