A nurse is reviewing the laboratory report of a client who has hypoparathyroidism. The nurse should expect which of the following values?
Phosphate 5.7 mg/dL
Vitamin D 25 ng/mL
Calcium 9.8 mg/dL
Magnesium 1.8 mEq/L
The Correct Answer is A
Choice A reason: Phosphate 5.7 mg/dL is an elevated value, as the normal range is 2.5 to 4.5 mg/dL. Hypoparathyroidism causes low levels of parathyroid hormone (PTH), which regulates calcium and phosphorus balance in the body. Low PTH leads to low calcium and high phosphorus levels in the blood.
Choice B reason: Vitamin D 25 ng/mL is a normal value, as the normal range is 20 to 50 ng/mL. Hypoparathyroidism does not directly affect vitamin D levels, but vitamin D supplements may be given to help increase calcium absorption and lower phosphorus levels in the blood.
Choice C reason: Calcium 9.8 mg/dL is a normal value, as the normal range is 8.6 to 10.2 mg/dL. Hypoparathyroidism causes low levels of parathyroid hormone (PTH), which regulates calcium and phosphorus balance in the body. Low PTH leads to low calcium and high phosphorus levels in the blood. However, calcium levels may be normal or near- normal in some cases of hypoparathyroidism, especially if the condition is mild or well-controlled with treatment.
Choice D reason: Magnesium 1.8 mEq/L is a normal value, as the normal range is 1.5 to 2.5 mEq/L. Hypoparathyroidism does not directly affect magnesium levels, but magnesium deficiency can cause or worsen hypoparathyroidism, as magnesium is needed for PTH secretion and action. Magnesium supplements may be given to correct magnesium deficiency and improve PTH function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: Tachycardia is a common symptom of hypoglycemia, as the body releases adrenaline and other hormones to raise the blood sugar level. This can cause the heart to beat faster and stronger.
Choice B reason: Blurry vision is a common symptom of hypoglycemia, as low blood sugar can affect the ability of the eyes to focus and see clearly. This can also cause headaches, dizziness, or double vision.
Choice C reason: Sweating is a common symptom of hypoglycemia, as the body tries to cool down and cope with the stress of low blood sugar. This can also cause shakiness, trembling, or tingling in the lips, tongue, or cheek.
Choice D reason: Polydipsia (excessive thirst) is not a symptom of hypoglycemia, but a symptom of hyperglycemia (high blood sugar). High blood sugar can cause dehydration and dry mouth, which make the person feel thirsty.
Choice E reason: Polyuria (excessive urination) is not a symptom of hypoglycemia, but a symptom of hyperglycemia (high blood sugar). High blood sugar can cause the kidneys to filter out excess glucose and water from the blood, which make the person urinate more often.
Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}
No explanation
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