The nurse is developing a plan of care for a patient with hyperparathyroidism and a serum calcium level of 12.0 mg/dL. What should be included in the plan?
Select all that apply.
1. promoting ambulation and mobility
2. discussing a change from ordered thiazide diuretics to another type of diuretic with health care provider
3. teaching to increase daily oral intake of fluids
4. encouraging supplementation of fat-soluble vitamins
5. encouraging use of calcium-based antacids for indigestion
Question 2The nurse is assessing a patient with hyperparathyroidism who is taking digoxin (Lanoxin). For what should the nurse assess this patient?
1. toxic effects of digoxin (Lanoxin)
2. evidence the medication dose needs to be increased
3. onset of polyuria
4. muscle weakness and atrophy
Question 3The nurse is assessing a patient's understanding of hyperparathyroidism. The nurse knows further teaching is needed when the patient states that the primary health care provider can determine the patient has hyperparathyroidism when:
1. the patient has experienced at least two episodes of severe abdominal pain.
2. all other causes of high blood calcium levels have been ruled out.
3. the patient has had the symptoms of hyperparathyroidism for at least 6 months.
4. the patient's blood tests show high calcium and high parathyroid hormone levels.
Question 4The nurse is teaching a patient who has a diagnosis of hypothyroidism about the importance of dietary fiber. Which statements by the patient indicate that teaching has been effective?
Select all that apply.
1. I will drink a full glass of water with my fiber pill each morning.
2. I will snack on popcorn rather than potato chips.
3. I will take an over-the-counter fiber pill each morning with my levothyroxine.
4. I will increase my intake of protein sources such as meat and eggs.
5. I will read the nutrition labels and choose foods with high carbohydrate content.
Question 5The nurse is screening a group of patients for risk factors related to thyroid cancer. Which patient should the nurse recognize as having the highest risk for developing thyroid cancer?
1. a 75-year-old patient with a history of sinus infections in childhood
2. a 70-year-old patient who refinishes furniture as a hobby
3. an 80-year-old patient whose diet consists largely of red meat
4. an 85-year-old patient who works outdoors without sunscreen
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