The nurse is conducting a health history on a client diagnosed with hyperparathyroidism. Which question asked of the client would elicit information about this condition?

"Are you experiencing pain in your joints?"

“Do you have tremors in your hands?"

“Do you notice any swelling in your legs at night.”

“Have you had problems with diarrhea lately?”

Answer and Explanation

The Correct Answer is A

A. Hyperparathyroidism often leads to elevated levels of calcium in the blood, which can result in joint and bone pain due to the excessive breakdown of bone tissue (osteoporosis).

B. Tremors are not typically associated with hyperparathyroidism; they are more commonly linked to conditions like hyperthyroidism or neurological disorders.

C. Swelling in the legs is more commonly associated with conditions like heart failure or venous insufficiency, not hyperparathyroidism.

D. Diarrhea is not a common symptom of hyperparathyroidism; this condition is more likely to cause constipation due to hypercalcemia.

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Correct Answer is C

Explanation

A. Assisting the client to the bathroom might be helpful, but it is not the first action the nurse should take since the client hasn't voided for an extended period.

B. Increasing fluids may be beneficial but does not address the immediate concern of whether there is a problem with urinary retention.

C. Performing a bladder scan is the first action to determine if there is urine retention in the bladder. This information is crucial before deciding on further interventions, such as catheterization.

D. Inserting a straight catheter may be necessary if significant urinary retention is confirmed, but it should not be the first action without knowing the bladder's status.

A. Decreased pulse B. Elevated blood pressure C. Cold intolerance D. Decreased respiratory rate

Correct Answer is B

Explanation

A. A decreased pulse is not typically associated with pheochromocytoma. This condition is characterized by the excessive release of catecholamines, which usually leads to an increased heart rate.

B. Pheochromocytoma is a tumor of the adrenal medulla that causes excessive secretion of catecholamines, leading to episodic or sustained hypertension. Elevated blood pressure is a hallmark symptom of this condition.

C. Cold intolerance is more commonly associated with hypothyroidism and is not a typical finding in pheochromocytoma.

D. Decreased respiratory rate is not characteristic of pheochromocytoma; instead, clients may experience symptoms such as palpitations, sweating, and headaches due to the elevated catecholamine levels.

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The nurse is conducting a health history on a client diagnosed with hyperparathyroidism. Which question asked of the client would elicit information about this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has not voided for 8 hr following the removal of an indwelling urinary catheter. Which of the following actions should be the nurse take first?

Correct Answer is C

Explanation

A nurse is caring for a client with a pheochromocytoma. Which assessment finding will the nurse expect for this client?

Correct Answer is B

Explanation

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