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 D

Explanation

A. Toenail trimming should be performed by a professional to prevent injury, but it does not require immediate reporting.
B. Dark yellow urine can indicate dehydration, but it is not an urgent concern in this context.
C. Dizziness when standing is a concern, but it does not take priority over the refusal of breakfast, which may lead to hypoglycemia.
D. A refusal to eat can lead to hypoglycemia in clients with type 1 diabetes, and this situation should be reported immediately to prevent a dangerous drop in blood glucose levels.

A. Pathologic fractures B. Fluid retention C. Dysphagia D. Impaired skin integrity

Correct Answer is A

Explanation

A. Hyperparathyroidism leads to elevated calcium levels, which can cause bone demineralization, resulting in pathologic fractures due to weakened bones.
B. Fluid retention is more commonly associated with conditions like heart failure or renal issues, not hyperparathyroidism.
C. Dysphagia is not a typical complication of hyperparathyroidism and may be related to other gastrointestinal issues.
D. Impaired skin integrity is not directly linked to hyperparathyroidism, although immobility or other factors could contribute to skin issues.

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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

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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