The nurse is educating a client on hyperparathyroidism. Which of the following statements would require further teaching?
I will increase the fiber intake in my diet
I am taking furosemide so that I can excrete the extra calcium in my body
I am scheduled to have my parathyroid taken out next week
I can only drink 1,000 mL of fluid in a 24-hour period
The Correct Answer is D
Choice A reason: Increasing fiber binds dietary calcium, reducing absorption in hyperparathyroidism, aiding excretion, so this statement aligns with proper management.
Choice B reason: Furosemide enhances calcium excretion via urine, countering hyperparathyroidism’s high levels, making this an accurate understanding of treatment intent.
Choice C reason: Parathyroidectomy removes overactive glands, correcting calcium overproduction in hyperparathyroidism, a correct expectation reflecting disease management.
Choice D reason: Fluid restriction (1,000 mL) concentrates calcium, worsening hypercalcemia in hyperparathyroidism; increased fluids dilute it, so this needs correction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: 150 mL NG drainage in 8 hours is low for obstruction, suggesting stability; it’s less urgent than respiratory compromise in other clients.
Choice B reason: Respiratory rate 26 and 90% saturation indicate distress in ascites, but crackles suggest fluid overload, less acute than pancreatitis’s pulmonary risk.
Choice C reason: Decreased breath sounds and crackles in pancreatitis signal pleural effusion or ARDS, a life-threatening complication, prioritizing immediate respiratory assessment.
Choice D reason: BP 92/45 with stable varices is concerning but not acutely unstable without bleeding signs, less critical than respiratory failure in pancreatitis.
Correct Answer is B
Explanation
Choice A reason: Bradycardia occurs in hypothyroidism; Graves’ disease, hyperthyroidism, speeds metabolism, causing tachycardia, not slowed heart rate, during exacerbation.
Choice B reason: Heat intolerance in Graves’ disease results from excess thyroid hormone accelerating metabolism, raising body temperature, a hallmark of hyperthyroidism flares.
Choice C reason: Weight gain aligns with hypothyroidism’s slowed metabolism; Graves’ causes weight loss from increased calorie burning, opposite to this finding.
Choice D reason: Lethargy reflects hypothyroidism’s energy drop; Graves’ exacerbation increases metabolism, leading to restlessness or fatigue from overactivity, not lethargy.
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