Author Question: The nurse is reviewing the manifestations of hyperparathyroidism with a patient. Which statements by ... (Read 107 times)

fahad

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The nurse is reviewing the manifestations of hyperparathyroidism with a patient. Which statements by the patient indicate that teaching has been effective?
 
  Select all that apply.
  1. Hyperparathyroidism can cause the kidneys to keep calcium and excrete phosphorus.
  2. Calcium and phosphorus leave the bones and make them weak.
  3. Calcium is deposited in soft tissues.
  4. Kidney stones can develop.
  5. The kidneys work to raise blood pH and retain potassium.

Question 2

The nurse is assessing a patient with hypothyroidism. Which findings should the nurse expect for this patient?
 
  Select all that apply.
  1. change in heart rate from 80 bpm to 60 bpm on auscultation
  2. decreased stroke volume from 70 mL/beat to 50 mL/beat per echocardiogram
  3. new finding of pericardial effusion per chest x-ray
  4. left descending coronary artery narrowing per angiogram
  5. increased cardiac output from 3,000 mL/min to 4,000 mL/min per echocardiogram



Kingjoffery

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Answer to Question 1

Correct Answer: 1, 2, 3, 4
Hyperparathyroidism is characterized by increased resorption of calcium and excretion of phosphate by the kidneys, which increases the risk of hypercalcemia and hypophosphatemia. The release of calcium and phosphorus by the bones can lead to bone decalcification, deposit of calcium in soft tissues, and the formation of renal calculi. Hyperparathyroidism causes the kidneys to lower blood pH and excrete potassium.

Answer to Question 2

Correct Answer: 1, 2, 3, 4
A thyroid hormone deficit causes a reduction in heart rate and stroke volume, resulting in decreased cardiac output. There may also be an accumulation of fluid in the pericardial sac, and coronary artery disease may be present. Increased cardiac output is not associated with hypothyroidism.



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