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mithaprilla mithaprilla
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Posts: 564
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6 years ago
The nurse is instructing a patient about the symptoms of hyperparathyroidism. Which symptoms should the nurse include in this discussion?
 
  Select all that apply.
  1. abdominal pain
  2. dysrhythmias
  3. hypertension
  4. diarrhea
  5. reduced urine output

Question 2

The nurse is reviewing the manifestations of hyperparathyroidism with a patient. Which statements by the patient indicate that teaching has been effective?
 
  Select all that apply.
  1. Hyperparathyroidism can cause the kidneys to keep calcium and excrete phosphorus.
  2. Calcium and phosphorus leave the bones and make them weak.
  3. Calcium is deposited in soft tissues.
  4. Kidney stones can develop.
  5. The kidneys work to raise blood pH and retain potassium.

Question 3

The nurse is assessing a patient with hypothyroidism. Which findings should the nurse expect for this patient?
 
  Select all that apply.
  1. change in heart rate from 80 bpm to 60 bpm on auscultation
  2. decreased stroke volume from 70 mL/beat to 50 mL/beat per echocardiogram
  3. new finding of pericardial effusion per chest x-ray
  4. left descending coronary artery narrowing per angiogram
  5. increased cardiac output from 3,000 mL/min to 4,000 mL/min per echocardiogram

Question 4

The nurse is teaching a group of older adults about thyroid hormone replacement.
 
  The nurse realizes teaching has been ineffective when one participant states that older adults may be at risk for too much thyroid medication in their blood because of which factor?
 
  1. high blood lipid levels
  2. less albumin in the blood to bind to thyroid medication
  3. kidney alterations that make the organs less efficient at removing medications from the blood
  4. polypharmacy, leading to problems with medication dosing and administration
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Replies
wrote...
6 years ago
The answer to question 1

Correct Answer: 1, 2, 3
Hyperparathyroidism can cause abdominal pain, dysrhythmias, and hypertension. Diarrhea and reduced urine output are not manifestations of hyperparathyroidism.

The answer to question 2

Correct Answer: 1, 2, 3, 4
Hyperparathyroidism is characterized by increased resorption of calcium and excretion of phosphate by the kidneys, which increases the risk of hypercalcemia and hypophosphatemia. The release of calcium and phosphorus by the bones can lead to bone decalcification, deposit of calcium in soft tissues, and the formation of renal calculi. Hyperparathyroidism causes the kidneys to lower blood pH and excrete potassium.

The answer to question 3

Correct Answer: 1, 2, 3, 4
A thyroid hormone deficit causes a reduction in heart rate and stroke volume, resulting in decreased cardiac output. There may also be an accumulation of fluid in the pericardial sac, and coronary artery disease may be present. Increased cardiac output is not associated with hypothyroidism.

The answer to question 4

Correct Answer: 1
Elevated serum lipids are not associated with increased thyroid hormone levels in patients taking thyroid hormone replacement. Older adults are at risk for hypoalbuminemia, decreased kidney function, and polypharmacy, all of which can lead to elevated levels of thyroid hormone in the bloodstream.
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