The nurse is assessing a patient's understanding of ...

[future617RT]

The nurse is assessing a patient's understanding of hyperparathyroidism . The nurse knows further teaching is needed when the patient states that the primary health care provider can determine the patient has hyperparathyroidism when:
 
  1. the patient has experienced at least two episodes of severe abdominal pain.
  2. all other causes of high blood calcium levels have been ruled out.
  3. the patient has had the symptoms of hyperparathyroidism for at least 6 months.
  4. the patient's blood tests show high calcium and high parathyroid hormone levels.

Question 2

The nurse is teaching a patient who has a diagnosis of hypothyroidism about the importance of dietary fiber. Which statements by the patient indicate that teaching has been effective?
 
  Select all that apply.
  1. I will drink a full glass of water with my fiber pill each morning.
  2. I will snack on popcorn rather than potato chips.
  3. I will take an over-the-counter fiber pill each morning with my levothyroxine.
  4. I will increase my intake of protein sources such as meat and eggs.
  5. I will read the nutrition labels and choose foods with high carbohydrate content.

[Zebsrer]

Answer to Question 1

Correct Answer: 1
Two episodes of abdominal pain may be symptomatic of hyperparathyroidism but are not diagnostic criteria. Hyperparathyroidism is diagnosed by excluding all other possible causes of hypercalcemia, by at least a six-month history of manifestations, and by laboratory analysis of serum calcium and PTH levels.

Answer to Question 2

Correct Answer: 1, 2
A full glass of water should be taken with fiber tablets to reduce the risk of intestinal blockage. Popcorn is a high-fiber food and an appropriate choice for a patient who needs a high-fiber diet. The patient should not ingest a high-fiber source at the same time as thyroid replacement medications, as the fiber will interfere with absorption of the medication. Meat and eggs are not good sources of fiber. This patient should look for fiber content rather than carbohydrate content on labels.

[future617RT]

TYSM

[elyse44]

Excellent