Which electrolyte will be high in a client with hypoparathyroidism?
Phosphorus
Calcium
Magnesium
Potassium
The Correct Answer is A
Choice A reason: Hypoparathyroidism lowers PTH, reducing phosphorus excretion, raising serum levels as kidneys reabsorb more, while calcium drops, a classic imbalance.
Choice B reason: Calcium decreases in hypoparathyroidism due to low PTH, impairing bone resorption and gut absorption, opposite to being high, so this is incorrect.
Choice C reason: Magnesium isn’t directly regulated by PTH; hypoparathyroidism doesn’t consistently elevate it, staying normal unless other factors intervene.
Choice D reason: Potassium is unaffected by hypoparathyroidism, controlled by aldosterone and kidneys, not PTH, so it doesn’t rise with this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Celiac disease requires a gluten-free diet to prevent malabsorption, ensuring nutrient uptake for growth, the priority in a child to support development long-term.
Choice B reason: Celiac crisis, severe diarrhea, is rare post-diagnosis with dietary control; preventing it is secondary to establishing a sustainable diet for ongoing health.
Choice C reason: Adjusting to dietary restrictions supports compliance but follows initial education on a gluten-free diet, which is foundational for managing celiac disease effectively.
Choice D reason: Respiratory issues aren’t linked to celiac disease, which affects the gut; this option is irrelevant, as complications are gastrointestinal, not pulmonary.
Correct Answer is C
Explanation
Choice A reason: Crackles indicate pulmonary edema from left-sided heart failure, where fluid backs up into lungs, not right-sided failure, which affects systemic circulation instead.
Choice B reason: Orthopnea, dyspnea when lying flat, results from left-sided failure’s pulmonary congestion, not right-sided failure, which causes systemic venous pooling, not lung issues.
Choice C reason: Jugular venous distention occurs in right-sided heart failure as the right ventricle fails, backing blood into veins, elevating neck vein pressure visibly.
Choice D reason: Blood-tinged sputum suggests pulmonary edema or infarction, tied to left-sided failure or embolism, not right-sided failure’s systemic congestion pattern.
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