A nurse is reviewing the laboratory report of a client who has hyperparathyroidism. The nurse should expect which of the following findings?

Decreased calcium level

Decreased parathyroid hormone level

Increased phosphate level

Increased magnesium level

Answer and Explanation

The Correct Answer is D

A. Decreased calcium level is incorrect. Hyperparathyroidism leads to increased calcium levels (hypercalcemia) due to excessive parathyroid hormone (PTH), which increases calcium release from bones, absorption in the intestines, and reabsorption in the kidneys.

B. Decreased parathyroid hormone level is incorrect. In hyperparathyroidism, PTH levels are elevated, not decreased, due to excessive secretion by the parathyroid glands.

C. Increased phosphate level is incorrect. PTH causes renal phosphate excretion, leading to low or normal phosphate levels, rather than increased levels.

D. Increased magnesium level is correct. Parathyroid hormone increases magnesium reabsorption in the kidneys, leading to elevated magnesium levels in hyperparathyroidism.

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Correct Answer is A

Explanation

A. NPH insulin is an intermediate-acting insulin that peaks 6-8 hours after administration. Offering a snack at 1500 helps prevent hypoglycemia during the peak action of the insulin.
B. 0730 is too soon after the insulin administration, and the peak effect has not occurred yet.
C. 0900 is still early in the insulin's action, and hypoglycemia is unlikely at this time.
D. 1230 is during the early stages of NPH insulin's action, but hypoglycemia typically does not occur until the peak time later in the day.

A. Airway patency B. Hoarseness C. Pain control D. Visual deficits

Correct Answer is A

Explanation

A. Airway patency is the priority concern following a thyroidectomy due to the risk of swelling or bleeding that can compress the airway, leading to respiratory compromise.
B. Hoarseness can occur due to laryngeal nerve irritation but is not the priority over airway concerns.
C. Pain control is important but is not the primary priority compared to maintaining a patent airway.
D. Visual deficits are not typically related to postoperative thyroidectomy care.

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A nurse is reviewing the laboratory report of a client who has hyperparathyroidism. The nurse should expect which of the following findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is prescribed 15 units of NPH insulin to be administered at 0700. At which of the following times of day is most appropriate for the nurse to plan to offer a snack?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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