The nurse is discussing dietary changes with a patient newly diagnosed with hypoparathyroidism.
Which will the nurse encourage the patient to include in their diet?

Dairy milk.

Eggs.

Spinach.

Green beans.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Dairy milk is a rich source of calcium, which is essential for patients with hypoparathyroidism. This condition leads to low levels of parathyroid hormone, causing hypocalcemia (low calcium levels in the blood). Including calcium-rich foods like dairy milk helps to manage this deficiency and maintain normal calcium levels.

Choice B rationale

Eggs provide some calcium, but their primary nutritional value is their protein content. While beneficial for overall health, eggs alone are not sufficient to address the calcium needs of patients with hypoparathyroidism, who require higher calcium intake.

Choice C rationale

Spinach contains calcium; however, it also has high levels of oxalates, which can bind to calcium and reduce its absorption in the body. Therefore, relying on spinach for calcium intake is not ideal for patients with hypoparathyroidism, who need to maximize calcium absorption to manage their condition effectively.

Choice D rationale

Green beans are nutritious and provide some calcium, but they are not among the top sources of calcium required for managing hypoparathyroidism. Patients with this condition need higher calcium intake from more concentrated sources like dairy products.

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Correct Answer is B

Explanation

Choice A rationale

Chemotherapy and radiation can significantly affect fertility. It would be incorrect to reassure the patient that these treatments will not impact her ability to become pregnant, as these treatments often reduce fertility or cause temporary or permanent infertility.

Choice B rationale

Discussing fertility counseling and contraception options allows the patient to make informed decisions about her reproductive health. Fertility preservation methods, such as egg or embryo freezing, can be considered before starting treatment. This approach respects the patient's desire to become pregnant while acknowledging the impact of cancer treatment.

Choice C rationale

Referring the patient to a social worker for pregnancy surrogacy is premature and not directly addressing the patient's immediate concerns about fertility and treatment. Fertility counseling is a more appropriate initial step.

Choice D rationale

Delaying treatment for cancer to allow for pregnancy can have severe negative impacts on the patient's prognosis and is not advised. Immediate treatment is crucial to control the disease and improve survival chances.

Correct Answer is ["5"]

Explanation

The correct answer is 5.

Step 1 is 0.5 mg × 1000 mcg ÷ 1 mg = 500 mcg.

Step 2 is 500 mcg ÷ 100 mcg/min = 5 min.

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The nurse is discussing dietary changes with a patient newly diagnosed with hypoparathyroidism.Which will the nurse encourage the patient to include in their diet?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a 28-year-old woman with a new diagnosis of Hodgkin's lymphoma scheduled to begin treatment with chemotherapy and radiation.The patient states that she is trying to become pregnant.What is the nurse's best response?

Correct Answer is B

Explanation

Correct Answer is ["5"]

Explanation

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The nurse is discussing dietary changes with a patient newly diagnosed with hypoparathyroidism.
Which will the nurse encourage the patient to include in their diet?