After thyroid surgery, the nurse suspects damage to the parathyroid glands when the patient develops which of the following?

Hyperthermia and severe tachycardia

Hypercalcemia and shortness of breath

Laryngospasms and tingling in the hands and feet

Hypophosphatemia, hypertension, vomiting, and chest pain

Answer and Explanation

The Correct Answer is C

Choice A rationale
Hyperthermia and severe tachycardia are not typical symptoms of damage to the parathyroid glands.
Choice B rationale
Hypercalcemia and shortness of breath are not typical symptoms of damage to the parathyroid glands.
Choice C rationale
Laryngospasms and tingling in the hands and feet can be symptoms of hypoparathyroidism, a condition that can occur if the parathyroid glands are damaged. Hypoparathyroidism can lead to low levels of calcium in the blood, which can cause these symptoms.
Choice D rationale
Hypophosphatemia, hypertension, vomiting, and chest pain are not typical symptoms of damage to the parathyroid glands.

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Correct Answer is C

Explanation

Choice A rationale
Fluid retention is not typically associated with hyperparathyroidism. Hyperparathyroidism is a condition in which the parathyroid glands produce too much parathyroid hormone, leading to high levels of calcium in the blood.
Choice B rationale
Impaired skin integrity is not typically associated with hyperparathyroidism.
Choice C rationale
Pathologic fractures are a potential complication of hyperparathyroidism. The condition can lead to osteoporosis due to loss of calcium from the bones, increasing the risk of fractures.
Choice D rationale
Dysphagia, or difficulty swallowing, is not typically associated with hyperparathyroidism.

A. Erythrocyte sedimentation rate (ESR) B. D-dimer C. C-reactive protein (CRP) D. Albumin .

Correct Answer is D

Explanation

Choice A rationale
An erythrocyte sedimentation rate (ESR) is a blood test that can detect and monitor inflammation in the body. It measures the rate at which red blood cells (erythrocytes) in a test tube separate from blood serum over time, with the rate being faster in people with inflammatory diseases. While it can be elevated in many conditions, including liver disease, it is not specific to liver disease and therefore would not typically be used to confirm a diagnosis of liver disease.
Choice B rationale
D-dimer is a small protein fragment present in the blood after a blood clot is degraded by fibrinolysis. It is typically used to rule out thrombosis (blood clots), not to diagnose liver disease.
Choice C rationale
C-reactive protein (CRP) is a protein made by the liver and sent into the bloodstream in response to inflammation. While it can be elevated in many conditions, including liver disease, it is not specific to liver disease and therefore would not typically be used to confirm a diagnosis of liver disease.

Choice D rationale
Albumin is a protein made by the liver, and measuring its levels can help diagnose liver disease. When the liver is damaged, it can’t make enough albumin, so the level of albumin in the blood gets lower. This is why albumin is often used as a marker of liver function, and why it would be anticipated in the laboratory values ordered to confirm a diagnosis of liver disease.
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After thyroid surgery, the nurse suspects damage to the parathyroid glands when the patient develops which of the following?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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