The nurse is teaching a patient with hyperparathyroidism how to manage the condition at home.
Which response by the patient indicates the need for additional teaching?

I should consume less than 1 liter of fluid per day.

I should use my treadmill or go for walks daily.

I should follow a moderate-calcium, high fiber diet.

My alendronate helps keep calcium from coming out of my bones.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Patients with hyperparathyroidism should maintain adequate hydration to help prevent kidney stones and other complications related to high calcium levels. Consuming less than 1 liter of fluid per day is insufficient and can lead to dehydration and increased calcium concentration in the blood, exacerbating the condition.

Choice B rationale

Regular physical activity, such as using a treadmill or walking, is beneficial for patients with hyperparathyroidism. Exercise helps to improve overall health, maintain bone density, and reduce the risk of complications associated with hypercalcemia.

Choice C rationale

A moderate-calcium, high-fiber diet is recommended for managing hyperparathyroidism. Adequate dietary fiber aids in digestion and helps prevent constipation, which is a common symptom of hypercalcemia. Moderating calcium intake is important to manage the condition.

Choice D rationale

Alendronate is a bisphosphonate medication that helps to prevent bone resorption and reduce calcium release into the bloodstream. It is an effective treatment for managing hyperparathyroidism and helps to maintain bone health. .

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Correct Answer is A

Explanation

Choice A rationale

Prevent graft versus host disease (GVHD) is a common complication following an allogeneic stem cell transplant. Immunosuppressant medications are given to prevent the donor immune cells from attacking the recipient's body tissues, which is GVHD. This prevention is crucial for the success of the transplant and the patient's overall recovery.

Choice B rationale

Prevent graft rejection is more commonly associated with solid organ transplants like kidney or liver transplants. In the context of stem cell transplants, preventing GVHD is the primary concern rather than preventing graft rejection.

Choice C rationale

Preventing hospital-acquired infections is important for all patients, especially those with compromised immune systems. However, this is not the primary indication for immunosuppressant medications following an allogeneic stem cell transplant. Other measures, such as infection control protocols, are more directly related to this.

Choice D rationale

Preventing a relapse of leukemia is a key goal of the overall treatment plan for leukemia patients. However, immunosuppressant medications do not directly prevent a relapse; instead, they help manage complications like GVHD that can arise from the transplant process.

A. Reassure the patient that radiation and chemotherapy will not affect their ability to become pregnant. B. Discuss fertility counseling and contraception options that are available to the patient. C. Refer the patient to the social worker to identify an appropriate pregnancy surrogate. D. Notify the provider that treatment should be delayed until the patient becomes pregnant.

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.

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The nurse is teaching a patient with hyperparathyroidism how to manage the condition at home.Which response by the patient indicates the need for additional teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a patient about taking immunosuppressant medications after an allogeneic stem cell transplant to treat leukemia.What will the nurse teach is the indication for this treatment?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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The nurse is teaching a patient with hyperparathyroidism how to manage the condition at home.
Which response by the patient indicates the need for additional teaching?