Author Question: A review of a patient's laboratory test results indicates that the patient's serum calcium is 14.8 ... (Read 73 times)

strangeaffliction · **on:** Jul 23, 2018

A review of a patient's laboratory test results indicates that the patient's serum calcium is 14.8 mg/dL. The nurse determines that which factors may predispose the patient to this condition? (Select all that apply.)

a. Hyperparathyroidism
b. Cushing's syndrome
c. Osteoporosis
d. Use of thiazide diuretics
e. Cancer

Question 2

A nurse working in a family planning clinic is teaching a class on intrauterine devices (IUDs). Which patient should be advised against using an IUD for contraception?

a. A 45-year-old mother of four
b. A 30-year-old monogamous married woman
c. An 18-year-old with multiple sexual partners
d. A 35-year-old woman with a history of rosacea

jaymee143 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A, D, E
The upper limit for a normal serum calcium level is 10 mg/dL. The patient's laboratory results demonstrate hypercalcemia, which most often results from cancer, hyperparathyroidism, vitamin D intoxication, sarcoidosis, and use of thiazide diuretics.
In Cushing's syndrome the serum calcium is low.
Osteoporosis is characterized by low bone mass, altered bone architecture, and increased bone fragility. Adequate calcium and vitamin D (for absorption of calcium) are needed to maximize bone growth in early life and maintain bone integrity in later life. Nothing suggests that the pa-tient is taking calcium supplements.

Answer to Question 2

C
Women at risk for sexually transmitted diseases (STDs) should not use an IUD, because the risk of infection is higher. Women who have multiple sexual partners are especially at risk for STDs.
Women such as a mother of four and a monogamous married woman are less apt to contract STDs.
Women with rosacea can use an IUDs like any other woman.