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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A butterfly rash is associated with systemic lupus erythematosus (SLE), not Cushing's syndrome.
B. Muscle hypertrophy is not typically seen in Cushing's syndrome; instead, muscle wasting may occur due to excess cortisol.
C. Moon face is a classic sign of Cushing's syndrome, resulting from fat redistribution caused by elevated cortisol levels.
D. A positive Chvostek's sign indicates hypocalcemia, which is not a finding associated with Cushing's syndrome.
Correct Answer is A
Explanation
A. Regular soda provides a fast-acting source of glucose, which is essential for quickly raising blood sugar levels in a hypoglycemic event.
B. While oral glucose tablets are a good option, they may not act as quickly as soda in this case, especially if not immediately available.
C. Milk contains lactose, which takes longer to convert into glucose and is not ideal for rapidly raising blood glucose levels.
D. Hard candy can work, but soda is often faster in delivering glucose.
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