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 B

Explanation

A. "My breath may have a fruity odor." is incorrect. While fruity breath odor can occur with diabetic ketoacidosis (DKA), it is not a common early sign of hyperglycemia in general.

B. "I will be more thirsty than usual." is correct. Polydipsia (excessive thirst) is a hallmark symptom of hyperglycemia due to the body's attempt to compensate for increased blood glucose levels by drawing water out of cells, leading to dehydration.

C. "I might experience blurry vision at times." is incorrect. While blurry vision can occur due to fluid shifts in the lens caused by hyperglycemia, polydipsia is a more definitive and consistent early sign.

D. "My appetite will be decreased." is incorrect. Polyphagia (increased appetite) is a common symptom of hyperglycemia, not decreased appetite. This occurs because glucose is not properly entering the cells for energy, leading to increased hunger.

A. "I will feel shaky." B. "My appetite will be decreased." C. "My skin will be warm and moist." D. "I will be more thirsty than usual."

Correct Answer is A

Explanation

A. Shakiness is a common symptom of hypoglycemia, often caused by the body's release of adrenaline in response to low blood glucose levels.
B. Hypoglycemia typically causes an increase in hunger, not a decreased appetite, as the body attempts to correct low glucose levels.
C. Cool, clammy skin is associated with hypoglycemia due to the body's stress response, not warm, moist skin.
D. Increased thirst (polydipsia) is a symptom of hyperglycemia, not hypoglycemia.

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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?

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Naxlex Comprehensive Predictor Exams

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