« previous next »

Author Question: The nurse notes that a patient who has hypoparathyroidism has a serum calcium level of 6.8 mg/dL. ... (Read 186 times)

leilurhhh

  • Hero Member
  • *****
  • Posts: 560
on: Jun 25, 2018
The nurse notes that a patient who has hypoparathyroidism has a serum calcium level of 6.8 mg/dL. What would be a priority problem when planning care for this patient?
 
  1. potential for injury
  2. safety concerns because of confusion
  3. changes in renal function
  4. problems with oxygenation

Question 2

A patient with hyperparathyroidism secondary to renal failure is prescribed calcimimetic. What should the nurse instruct the patient about this medication?
 
  1. It increases the sensitivity of the calcium-sensing receptors of the parathyroid gland to serum calcium.
  2. It blocks calcium receptors in the nervous and musculoskeletal systems.
  3. It decreases resorption of calcium in the distal renal tubule.
  4. It binds calcium to bile salts that are then excreted through the GI tract.


jgranad15

  • Sr. Member
  • ****
  • Posts: 345
Reply #1 on: Jun 25, 2018
Answer to Question 1

Correct Answer: 1
The patient with hypocalcemia has a potential for injury because of the effects of the low calcium level on bone structure. Calcium is also needed for muscle and nerve function. Confusion, renal function changes, and problems with oxygenation are not manifestations of hypoparathyroidism and a low calcium level.

Answer to Question 2

Correct Answer: 1
Calcimimetic increases the sensitivity of the calcium-sensing receptors of the parathyroid gland to serum calcium. The effect is decreased secretion of PTH and reduced serum calcium and phosphorus. Calcimimetic does not block calcium receptors in the nervous and musculoskeletal systems, decrease the resorption of calcium in the distal renal tubule, or bind calcium to bile salts to excrete through the GI tract.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

In 2012, nearly 24 milliion Americans, aged 12 and older, had abused an illicit drug, according to the National Institute on Drug Abuse (NIDA).

Did you know?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

Did you know?

The calories found in one piece of cherry cheesecake could light a 60-watt light bulb for 1.5 hours.

Did you know?

The Romans did not use numerals to indicate fractions but instead used words to indicate parts of a whole.

Did you know?

Many supplement containers do not even contain what their labels say. There are many documented reports of products containing much less, or more, that what is listed on their labels. They may also contain undisclosed prescription drugs and even contaminants.

Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e
Providing patient education Providing patient education
Patient conditions not appropriate for elctronic blood pressure measurement Patient conditions not appropriate for elctronic blood pressure measurement
Vapocoolant spray application while passively stretching the paracervical muscles. Take care to prot Vapocoolant spray application while passively stretching the paracervical muscles. Take care to prot
Areas of sclerosis (see arrows) in the white matter of a patient with MS. Areas of sclerosis (see arrows) in the white matter of a patient with MS.
The regulation of muscle contraction by calcium The regulation of muscle contraction by calcium
Video: Electrical changes in the heart

For a complete list of videos, visit our video library