A nurse is assessing a client who has hypoparathyroidism. Which of the following findings should the nurse expect?

Flaccid muscles

Client report of anorexia

Client report of numbness in his hands

Negative Chvostek's sign

Answer and Explanation

The Correct Answer is C

A. Flaccid muscles are associated with conditions like hypokalemia, not hypoparathyroidism. In hypoparathyroidism, there is a deficiency of parathyroid hormone (PTH), which leads to low calcium levels and can result in muscle spasms and tetany, not flaccid muscles.

B. While anorexia can occur in clients with various health conditions, it is not a specific finding associated with hypoparathyroidism.

C. Correct. Hypoparathyroidism is characterized by low levels of parathyroid hormone (PTH), which leads to low calcium levels in the blood. This can cause symptoms such as numbness, tingling, and muscle cramps, especially in the extremities.

D. A positive Chvostek's sign is associated with hypocalcemia, which can be caused by hypoparathyroidism. Therefore, a negative Chvostek's sign would not be an expected finding in a client with hypoparathyroidism.

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Correct Answer is ["A","B","D"]

Explanation

A. Tachycardia - This is an increased heart rate, which can occur in response to low blood sugar levels.

B. Moist clammy skin - Sweating and clamminess are common symptoms of hypoglycemia.

C. Polydipsia - This is excessive thirst, which is not typically a manifestation of hypoglycemia. It is more commonly associated with hyperglycemia (high blood sugar levels).

D. Blurred vision - This can occur when the eyes are not receiving enough glucose due to low blood sugar levels.

E. Polyuria - This is excessive urination, which is not typically a manifestation of hypoglycemia. It is more commonly associated with hyperglycemia.

A. Administer aspirin as prescribed for any sign of hyperthermia. B. Keep the client NPO. C. Observe the client carefully for signs of hypocalcemia. D. Provide a quiet, low-stimulus environment.

Correct Answer is D

Explanation

A. Administering aspirin for hyperthermia is not a standard intervention for hyperthyroidism. Hyperthermia can occur in severe cases of hyperthyroidism, but the primary intervention is to address the underlying thyroid dysfunction and provide supportive care.

B. Keeping the client NPO (nothing by mouth) is not directly related to preventing a thyroid crisis in hyperthyroidism. It may be necessary for certain pre-operative preparations or if the client is undergoing specific procedures, but it does not address the prevention of a thyroid crisis.

C. While monitoring for signs of hypocalcemia is important in some cases of thyroid dysfunction, it is not the primary action to prevent a thyroid crisis. In hyperthyroidism, the focus is on managing excessive thyroid hormone levels.

D. Correct. Providing a quiet, low-stimulus environment is a crucial nursing intervention for clients with hyperthyroidism. They can be highly sensitive to external stimuli due to their increased metabolic rate. A calm environment helps reduce stress and the risk of exacerbating symptoms, potentially preventing a thyroid crisis.

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A nurse is assessing a client who has hypoparathyroidism. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","D"]

Explanation

Correct Answer is D

Explanation

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