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 B

Explanation

Choice A rationale

Routine prophylactic radiation therapy is not recommended for breast cancer survivors as it can lead to additional health issues such as secondary cancers and tissue damage. It is not a standard survivorship care practice.

Choice B rationale

Regular mammography screenings are crucial for early detection of breast cancer recurrence or new primary breast cancers. It is a standard component of survivorship care.

Choice C rationale

Coordinating with hospice care is more relevant for end-of-life care rather than survivorship care. Survivorship care focuses on maintaining health and monitoring for recurrence, not on palliative care planning.

Choice D rationale

Survivorship care is important throughout a patient's life, not just the first five years after remission. Continuous monitoring and health promotion are essential to detect any late effects of cancer treatment and maintain overall health.

A. Facial swelling and jugular vein distension (JVD). B. Muscle weakness, confusion, polyuria, and polydipsia. C. Flank pain, elevated uric acid, and cardiac monitor reveals an abnormal rhythm. D. Elevated liver function tests, jaundice, and blistering skin rash.

Correct Answer is C

Explanation

The correct answer is Choice C.

Choice A rationale

Facial swelling and jugular vein distension (JVD) are indicative of superior vena cava syndrome (SVCS), not tumor lysis syndrome (TLS). SVCS occurs when the superior vena cava, which carries blood from the head, neck, upper chest, and arms to the heart, is obstructed. This can lead to facial swelling, cyanosis, and distended neck veins due to increased venous pressure.

Choice B rationale

Muscle weakness, confusion, polyuria, and polydipsia are symptoms of hypercalcemia. Hypercalcemia is characterized by elevated levels of calcium in the blood, which can cause neuromuscular and cognitive symptoms, excessive urination, and increased thirst.

Choice C rationale

Tumor lysis syndrome (TLS) is characterized by rapid destruction of tumor cells, leading to elevated levels of uric acid, potassium, and phosphate. Symptoms include flank pain due to uric acid crystallization in the kidneys, and abnormal heart rhythms due to hyperkalemia.

Choice D rationale

Elevated liver function tests, jaundice, and blistering skin rash are symptoms of liver toxicity or hepatic dysfunction, possibly due to drug-induced liver injury. These symptoms are not related to tumor lysis syndrome (TLS).

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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

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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?