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 B

Explanation

A. Bubbling in the water seal chamber with exhalation can be normal as it indicates air is escaping from the pleural space; however, continuous bubbling may indicate an air leak and would need to be assessed.

B. Movement of the trachea toward the unaffected side is a sign of a tension pneumothorax, a life-threatening condition requiring immediate medical intervention. This tracheal deviation suggests that the pressure in the pleural space is increasing, pushing the mediastinum to the opposite side.

C. Scant serosanguinous drainage on the dressing is expected and not an immediate concern unless it becomes excessive.

D. Crepitus, or subcutaneous emphysema, indicates air leakage into the tissues but is not immediately life-threatening unless it is extensive and worsening rapidly.

A. Moist mucous membranes B. Bounding peripheral pulses C. Poor skin turgor D. Bradycardia

Correct Answer is C

Explanation

A. Moist mucous membranes would indicate adequate hydration, which is not typically seen in diabetes insipidus.

B. Bounding peripheral pulses are associated with conditions of fluid overload, not diabetes insipidus.

C. Poor skin turgor is a sign of dehydration, which is a common finding in diabetes insipidus due to excessive urine output leading to significant fluid loss.

D. Bradycardia is not typically associated with diabetes insipidus; tachycardia might be seen due to dehydration and hypovolemia.

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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?

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