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 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.
Correct Answer is C
Explanation
A. Bradycardia is not specifically associated with Addison's disease and can occur in various conditions.
B. Addison's disease typically causes hyperkalemia, not hypokalemia, due to insufficient aldosterone production.
C. Hypotension is a common manifestation in Addison's disease because of inadequate cortisol and aldosterone, leading to decreased blood volume and vascular resistance.
D. Hypernatremia is not typical in Addison's disease; rather, clients usually experience hyponatremia due to the lack of aldosterone leading to sodium loss.
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