A client who is experiencing a low calcium level is being ...

[mwit1967]

A client who is experiencing a low calcium level is being assessed for the possibility of an alteration in the function of the parathyroid. When the levels of PTH reveal a low level, the nurse should tell the client:
 
  1. the problem is due to problems in the thyroid gland.
  2. the adrenal glands are not functioning appropriately.
  3. the secretion of PTH is dependent on normal levels of vitamin D.
  4. the client should increase phosphorous intake.

Question 2

A client is in the clinic and tells the nurse that the family was hiking and came across a snake. The client told the family to run, but became concerned when the client's heart rate felt very high. The best response by the nurse is:
 
  1. I will ask the doctor to order an ECG.
  2. That is your adrenal glands protecting you.
  3. You should probably make an appointment with a cardiologist.
  4. You were just frightened.

[fatboyy09]

Answer to Question 1

Answer: 3

1. The thyroid gland does not regulate the production of PTH.
2. The adrenal glands control glucose levels and the release of corticosteroids.
3. In order for PTH to have an effect on the bone and kidneys, normal levels of vitamin D should be maintained.
4. Increasing calcium will not help if the vitamin D levels are low.

Answer to Question 2

Answer: 2

1. Since the client's bodily responses were normal, it is not necessary to ask for an ECG.
2. The adrenal medulla produces epinephrine and norepinephrine, which activates the flight or fight response by raising the blood pressure and heart rate to allow for immediate action. The response is a protective mechanism by the adrenal gland.
3. It would not be appropriate for the nurse to suggest a cardiology consult for a normal bodily response.
4. The client was frightened, but the nurse should explain to the client why the body responded as it did to alleviate the client's concern.

[mwit1967]

Thanks for the timely response, appreciate it

[kswal303]

Gracias!