A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications?

Pathologic fractures

Impaired skin integrity

Fluid retention

Dysphagia

Answer and Explanation

The Correct Answer is A

A.   Hyperparathyroidism can lead to bone resorption and weakening, putting the client at risk for fractures.
B.   This is not directly associated with hyperparathyroidism.
C.   Hyperparathyroidism typically leads to hypercalcemia, which can result in polyuria and dehydration rather than fluid retention.
D.   This is not directly associated with hyperparathyroidism.

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Correct Answer is D

Explanation

A. Metabolic acidosis is characterized by a low pH and low bicarbonate levels (HCO3).
B. Metabolic alkalosis is characterized by a high pH and high bicarbonate levels (HCO3).
C. Respiratory alkalosis is characterized by a high pH and low PaCO2 levels.
D. The pH is below the normal range (7.35-7.45), indicating acidosis. The PaCO2 is elevated, indicating respiratory acidosis, as an increase in PaCO2 leads to an increase in carbonic acid and a decrease in pH.

A. Intention tremors B. Hyperpigmentation C. Purple striations D. Hirsutism

Correct Answer is B

Explanation

A. Intention tremors are not typically associated with Addison's disease.
B. Hyperpigmentation, particularly in sun-exposed areas and pressure points, is a characteristic finding in Addison's disease due to increased melanocyte-stimulating hormone (MSH) production.
C. Purple striations are typically associated with Cushing's syndrome, not Addison's disease.
D. Hirsutism (excessive hair growth) is not a common manifestation of Addison's disease. It is more associated with Cushing’s disease.

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A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Explanation

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