A nurse is reviewing the laboratory report of a client who has hyperparathyroidism. The nurse should expect which of the following findings?

Decreased calcium level

Decreased parathyroid hormone level

Increased phosphate level

Increased magnesium level

Answer and Explanation

The Correct Answer is D

A. Decreased calcium level is incorrect. Hyperparathyroidism leads to increased calcium levels (hypercalcemia) due to excessive parathyroid hormone (PTH), which increases calcium release from bones, absorption in the intestines, and reabsorption in the kidneys.

B. Decreased parathyroid hormone level is incorrect. In hyperparathyroidism, PTH levels are elevated, not decreased, due to excessive secretion by the parathyroid glands.

C. Increased phosphate level is incorrect. PTH causes renal phosphate excretion, leading to low or normal phosphate levels, rather than increased levels.

D. Increased magnesium level is correct. Parathyroid hormone increases magnesium reabsorption in the kidneys, leading to elevated magnesium levels in hyperparathyroidism.

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Correct Answer is A

Explanation

A. Weight gain is common in hypothyroidism due to a slowed metabolism.
B. Diaphoresis is more associated with hyperthyroidism, not hypothyroidism.
C. Palpitations are a symptom of hyperthyroidism.
D. Protruding eyeballs (exophthalmos) is associated with Graves' disease, a form of hyperthyroidism.

A. Dorsal Recumbent B. Supine C. Sims' position D. Fowler's position

Correct Answer is D

Explanation

A. Dorsal recumbent is not an ideal position after a thyroidectomy due to the risk of airway obstruction.
B. Supine position does not provide optimal airway protection post-surgery.
C. Sims' position is not recommended for clients recovering from a thyroidectomy as it could affect breathing and circulation.
D. Fowler’s position (head of the bed elevated 45 to 90 degrees) is the best position post-thyroidectomy to reduce tension on the suture line and to facilitate breathing by decreasing swelling around the surgical site.

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A nurse is reviewing the laboratory report of a client who has hyperparathyroidism. The nurse should expect which of the following findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is caring for a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is assisting with the plan of care for a client who had a subtotal thyroidectomy. In which of the following positions should the nurse plan to place the client?

Correct Answer is D

Explanation

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