What person is at risk for hypercalcemia?
A person who has hypoparathyroidism
A person who has chronic renal failure
A person with a low plasma albumin level
A person who is bedbound and immobile
The Correct Answer is D
Choice A reason: Hypoparathyroidism causes hypocalcemia due to low parathyroid hormone, reducing bone resorption and calcium absorption. Hypercalcemia requires increased calcium mobilization, which hypoparathyroidism prevents, making this choice incorrect for a person at risk of hypercalcemia.
Choice B reason: Chronic renal failure typically causes hypocalcemia due to impaired vitamin D activation and phosphate retention, binding calcium. Hypercalcemia is rare unless overtreated with calcium supplements, making this choice incorrect for typical renal failure scenarios.
Choice C reason: Low plasma albumin reduces bound calcium, lowering total serum calcium, not causing hypercalcemia. Free calcium may remain normal, but total calcium decreases, making this choice incorrect for a person at risk of hypercalcemia.
Choice D reason: Bedbound, immobile individuals are at risk for hypercalcemia due to increased bone resorption from lack of weight-bearing activity. Osteoclasts break down bone, releasing calcium into the blood, causing hypercalcemia, making this the correct choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
Choice A reason: Stabilizing the wrist with an elastic wrap supports the injured ligaments, reducing movement and further damage. It promotes healing by maintaining alignment, making this a correct action for acute wrist sprain management.
Choice B reason: Applying a warm pack increases blood flow, which may worsen swelling in an acute sprain. Cold therapy is recommended to reduce inflammation and pain, making this choice incorrect for acute sprain management.
Choice C reason: Elevating the wrist above the heart reduces swelling by decreasing hydrostatic pressure, allowing fluid to drain from the injury site. This minimizes edema, making this a correct action for acute wrist sprain.
Choice D reason: Frequent massage may aggravate an acute sprain by increasing inflammation and pain. Rest and immobilization are preferred to promote healing, making this choice incorrect for acute wrist sprain management.
Choice E reason: Resting the wrist prevents further injury to damaged ligaments, allowing healing and reducing inflammation. Avoiding strain is critical in acute sprains, making this a correct action for wrist sprain recovery.
Correct Answer is C
Explanation
Choice A reason: Diarrhea is not a typical feature of autonomic dysreflexia, which involves sympathetic overactivity causing vasoconstriction. Bowel dysfunction may occur in spinal cord injury, but it is not specific to dysreflexia, making this incorrect.
Choice B reason: Tachycardia can occur in autonomic dysreflexia due to sympathetic stimulation, but it is less specific than headache, which is a hallmark symptom from severe hypertension, making this choice incorrect.
Choice C reason: Autonomic dysreflexia, often triggered by stimuli below the injury level, causes severe hypertension, leading to a pounding headache due to increased intracranial pressure. This is a hallmark symptom, making this the correct choice.
Choice D reason: Hypotension is not associated with autonomic dysreflexia, which causes hypertension from unopposed sympathetic responses. Hypotension may occur in spinal shock, not dysreflexia, making this choice incorrect.
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