A nurse is caring for a client who has elevated parathyroid hormone levels (PTH). The nurse is aware that the client is at high risk for which condition?

Renal Calculi

Irritability and Anxiety

Frequent diarrhea

Tetany and muscle pain

Answer and Explanation

The Correct Answer is A

A. Elevated PTH levels lead to increased calcium reabsorption from bones and enhanced calcium absorption in the kidneys, which can result in hypercalcemia and increase the risk of renal calculi (kidney stones).
B. Irritability and anxiety are not directly associated with high PTH levels. They are more often linked to thyroid hormone imbalances.
C. Frequent diarrhea is not a common symptom of elevated PTH levels; instead, hypercalcemia can lead to constipation.
D. Tetany and muscle pain are more commonly associated with low calcium levels, such as in hypoparathyroidism, not elevated PTH.

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Correct Answer is C

Explanation

A. A short-term, low-dose steroid use (one week) has minimal risk for adrenal suppression.
B. Three weeks of steroids increases risk, but daily use presents a higher risk.
C. Prolonged daily steroid use, especially in an older adult, poses the greatest risk for adrenal insufficiency due to suppression of the hypothalamic-pituitary-adrenal (HPA) axis.
D. Intermittent steroid use is less likely to cause adrenal insufficiency compared to daily long-term use.

A. Hormone replacement B. Dopamine Agonists C. Levothyroxine medications D. Corticosteroids

Correct Answer is B

Explanation

A. Hormone replacement is generally used to supplement deficiencies rather than inhibit excess hormone release.
B. Dopamine agonists, such as bromocriptine, are used to inhibit the release of growth hormone from the anterior pituitary, which is beneficial in treating acromegaly, a condition caused by excess growth hormone.
C. Levothyroxine is a thyroid hormone replacement and is not effective in controlling pituitary hormone release.
D. Corticosteroids do not inhibit growth hormone release and are typically used to manage inflammation rather than for pituitary hormone control.

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A nurse is caring for a client who has elevated parathyroid hormone levels (PTH). The nurse is aware that the client is at high risk for which condition?

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Naxlex Comprehensive Predictor Exams

A nurse is screening clients for adrenal insufficiency. The nurse recognizes that which client is at greatest risk for adrenal insufficiency?

Correct Answer is C

Explanation

A nurse is caring for a client with signs of acromegaly. The nurse is aware that which class of drugs are used to inhibit the release of anterior pituitary hormones?

Correct Answer is B

Explanation

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