In teaching a client with hypoparathyroidism about the disorder, which statement by the nurse best explains how the parathyroid hormone controls calcium levels in the blood?
1. Parathyroid hormones promote magnesium excretion by the kidneys, which raise blood calcium levels.
2. Parathyroid hormones stimulate cells of the gastrointestinal tract to absorb dietary calcium, raising the blood level.
3. Parathyroid hormone blocks phosphorous excretion by the kidneys, which then decreases the blood calcium level.
4. When blood calcium levels fall, parathyroid hormones stimulate bone resorption and increase calcium in the blood.
Question 2
A client is taking dexamethasone (Decadron) for treatment of Addison's disease. The nurse should conclude that the client needs further instruction when the client states:
1. I should weigh myself every morning.
2. I should not eat bananas.
3. I will call the physician for extreme thirst.
4. I should be seen if wounds do not heal.
Patient Teaching
Patient teaching: hair and scalp assessment
Patient Teaching Methods Cont.
Family teaching: problem solving skills.
A hot stone placed under the client’s neck.