A nurse is teaching a patient who has a new diagnosis of hyperparathyroidism.
The nurse should include in the teaching that the patient is at risk for which of the following complications?
Fluid retention
Impaired skin integrity
Pathologic fractures
Dysphagia
The Correct Answer is C
Choice A rationale
Fluid retention is not typically associated with hyperparathyroidism. Hyperparathyroidism is a condition in which the parathyroid glands produce too much parathyroid hormone, leading to high levels of calcium in the blood.
Choice B rationale
Impaired skin integrity is not typically associated with hyperparathyroidism.
Choice C rationale
Pathologic fractures are a potential complication of hyperparathyroidism. The condition can lead to osteoporosis due to loss of calcium from the bones, increasing the risk of fractures.
Choice D rationale
Dysphagia, or difficulty swallowing, is not typically associated with hyperparathyroidism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
If a client reports chills and back pain during a blood transfusion, and their blood pressure is 80/64 mm Hg, the nurse’s first action should be to stop the infusion of blood. These symptoms could indicate an acute intravascular hemolytic transfusion reaction, and the greatest risk to the client is injury from receiving additional blood.
Choice B rationale
Notifying the laboratory is an important step in managing a transfusion reaction, but it is not the first action that should be taken.
Choice C rationale
Obtaining a urine specimen could be part of the overall assessment of the client’s condition, but it is not the first action that should be taken when a client is experiencing a potential transfusion reaction.
Choice D rationale
Informing the provider is an important step when a client is experiencing a reaction to a blood transfusion, but it is not the first action that should be taken.
Correct Answer is D
Explanation
For a patient with hypoglycemia who has experienced a suspected seizure, the immediate intervention would be to administer IV 0.9% sodium chloride and 5% glucose (dextrose). This helps to quickly raise the patient’s blood glucose levels and manage the seizure.
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