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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Decreased body temperature reflects hypothyroidism; levothyroxine raises metabolism, normalizing or increasing temperature, so this isn’t a therapeutic response.

Choice B reason: Increased energy occurs as levothyroxine restores thyroid hormone, boosting metabolism, reversing hypothyroidism’s fatigue, a key sign of effective treatment.

Choice C reason: Weight gain contradicts levothyroxine’s effect; it increases metabolism, aiding weight loss or stabilization, not gain, in hypothyroidism treatment.

Choice D reason: Decreased appetite isn’t typical; levothyroxine may normalize appetite as metabolism rises, not suppress it, differing from hypothyroidism’s effects.

A. Bradycardia B. Heat intolerance C. Weight gain D. Lethargy

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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The nurse is educating a client on hyperparathyroidism. Which of the following statements would require further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is receiving levothyroxine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to this medication?

Correct Answer is B

Explanation

A nurse is assessing an adolescent who has an exacerbation of Graves' disease. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect?

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