A patient with hyperparathyroidism is likely to have which electrolyte imbalance?
Hypernatremia
Hyponatremia
Hypocalcemia
Hypercalcemia
The Correct Answer is D
(A) Hypernatremia: PTH does not significantly affect sodium levels.
(B) Hyponatremia: PTH imbalance does not cause sodium depletion.
(C) Hypocalcemia: Hyperparathyroidism increases calcium levels, not decreases them.
(D) Hypercalcemia: Hyperparathyroidism causes excessive secretion of parathyroid hormone (PTH), which increases calcium release from bones, enhances calcium absorption in the intestines, and reduces calcium excretion by the kidneys, leading to hypercalcemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
(A) Edema: Excess fluid accumulates in tissues, leading to swelling.
(B) Tachycardia: While tachycardia can occur in various conditions, it is not a primary symptom of hypervolemia.
(C) Reduced Skin Turgor: Seen in dehydration (hypovolemia), not fluid overload.
(D) Hypotension: Hypervolemia increases blood pressure, not lowers it.
Correct Answer is B
Explanation
(A) Obtain a urine specimen: Important for diagnosis but not the priority over pain management.
(B) Administer prescribed analgesics: Pain relief is the priority in acute urolithiasis, as renal colic is excruciating.
(C) Encourage oral fluids: Helps prevent further stone formation but is secondary to pain relief.
(D) Prepare the patient for surgery: Surgery is only indicated for large, obstructing stones, not a first-line intervention.
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