« previous next »

Author Question: The nurse notes that a patient who has hypoparathyroidism has a serum calcium level of 6.8 mg/dL. ... (Read 146 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?

All patients with hyperparathyroidism will develop osteoporosis. The parathyroid glands maintain blood calcium within the normal range. All patients with this disease will continue to lose calcium from their bones every day, and there is no way to prevent the development of osteoporosis as a result.

Did you know?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

Did you know?

Human stomach acid is strong enough to dissolve small pieces of metal such as razor blades or staples.

Did you know?

Pink eye is a term that refers to conjunctivitis, which is inflammation of the thin, clear membrane (conjunctiva) over the white part of the eye (sclera). It may be triggered by a virus, bacteria, or foreign body in the eye. Antibiotic eye drops alleviate bacterial conjunctivitis, and antihistamine allergy pills or eye drops help control allergic conjunctivitis symptoms.

Did you know?

When taking monoamine oxidase inhibitors, people should avoid a variety of foods, which include alcoholic beverages, bean curd, broad (fava) bean pods, cheese, fish, ginseng, protein extracts, meat, sauerkraut, shrimp paste, soups, and yeast.

A, A nurse is adding a medication to an IV line as a piggyback A, A nurse is adding a medication to an IV line as a piggyback
Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and
Nursing Notes on diabetes Nursing Notes on diabetes
Patient education Patient education
A surgeon holds a pacemaker next to an X-ray of a pacemaker implanted in a patient’s chest. A surgeon holds a pacemaker next to an X-ray of a pacemaker implanted in a patient’s chest.
Oral pseudo membraneous candidiasis in a patient with AIDS. Oral pseudo membraneous candidiasis in a patient with AIDS.
Video: Bipolar Disorder

For a complete list of videos, visit our video library