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 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.
Correct Answer is D
Explanation
Choice A reason: Soft foods like applesauce aid swallowing in Parkinson’s dysphagia, reducing aspiration risk from rigidity, a correct self-management strategy.
Choice B reason: Prune juice relieves constipation, common in Parkinson’s from slowed gut motility due to dopamine loss, so this is an accurate statement.
Choice C reason: Carbidopa-levodopa boosts dopamine, easing Parkinson’s motor symptoms (tremors, rigidity), a standard treatment, making this statement correct.
Choice D reason: Parkinson’s stems from dopamine deficiency, not acetylcholine; excess acetylcholine worsens symptoms, so this is incorrect and needs teaching.
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