A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications?

Pathologic fractures

Impaired skin integrity

Fluid retention

Dysphagia

Answer and Explanation

The Correct Answer is A

A.   Hyperparathyroidism can lead to bone resorption and weakening, putting the client at risk for fractures.
B.   This is not directly associated with hyperparathyroidism.
C.   Hyperparathyroidism typically leads to hypercalcemia, which can result in polyuria and dehydration rather than fluid retention.
D.   This is not directly associated with hyperparathyroidism.

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Correct Answer is B

Explanation

A. Aspirin administration is not typically indicated for hyperthermia associated with hyperthyroidism as it may displace thyroid hormone from binding proteins.
B. A calm environment can help prevent exacerbation of symptoms and reduce the risk of a thyroid crisis in hyperthyroid clients.
C. There is no indication to keep the client NPO solely based on hyperthyroidism.
D. Hypocalcemia is not a primary concern in hyperthyroidism. Monitoring for signs of hyperthyroid crisis is more pertinent.

A. "A low-protein diet reduces the risk for edema." B. "A low-protein diet will reduce the risk for hyperkalemia C. "A low-protein diet will increase the nitrogenous wastes in the blood." D. "A low protein diet reduces the risk for uremia."

Correct Answer is D

Explanation

A. Edema in chronic kidney failure is more closely associated with sodium and water retention rather than protein intake.
B. Hyperkalemia in chronic kidney failure can be managed by restricting dietary potassium intake, but it is not primarily related to protein intake.
C. A low-protein diet aims to decrease, not increase, nitrogenous wastes in the blood.
D. A low-protein diet reduces the risk for uremia, a condition resulting from chronic kidney failure where urea and other waste products build up in the body due to impaired renal function. A low-protein diet helps decrease the workload on the kidneys by reducing the amount of nitrogenous waste they need to filter and excrete.

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A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is teaching a client who has chronic kidney failure about planning a low-protein diet. The client states, "Why do I have to be concerned about protein?" Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is assisting with the care of a client who has metabolic alkalosis. Which of the following actions should the nurse take?

A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?

A nurse is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?

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

A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?

A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take?

A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity?