Author Question: A client with a calcium imbalance has an elevated calcitonin level. The nurse recognizes that the ... (Read 89 times)

c0205847 · **on:** Jul 23, 2018

A client with a calcium imbalance has an elevated calcitonin level. The nurse recognizes that the secretion of calcitonin is increased when the client experiences:

1. hypocalcemia.
2. hypothyroidism.
3. hyperthyroidism.
4. hypercalcemia.

Question 2

Which question is most important for the nurse to ask the client who has been diagnosed with osteoporosis?

1. How much weight have you gained in the last year?
2. How many dairy products do you consume per day?
3. Does someone in your household smoke?
4. What would you estimate your cholesterol intake to be?

tuwy · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Hypocalcemia would increase parathormone secretion and decrease the secretion of calcitonin.
Rationale 2: Calcitonin is released from the thyroid gland, but hypothyroidism is a deficiency of thyroid hormones.
Rationale 3: Calcitonin is released from the thyroid gland, but hyperthyroidism is an excess of thyroid hormones.
Rationale 4: Calcitonin is the hormone that opposes parathyroid hormone and is released when the serum calcium level is increased.
Global Rationale: Calcitonin is the hormone that opposes parathyroid hormone and is released when the serum calcium level is increased. Hypocalcemia would increase parathormone secretion and decrease the secretion of calcitonin. Calcitonin is released from the thyroid gland, but hypothyroidism is a deficiency of thyroid hormones and hyperthyroidism is an excess of thyroid hormones.

Answer to Question 2

Correct Answer: 2
Rationale 1: Weight loss and decreased weight bearing are associated with osteoporosis.
Rationale 2: Osteoporosis is associated with a deficiency of calcium. Milk provides the most readily available form of calcium.
Rationale 3: A personal history of smoking is a risk factor for osteoporosis.
Rationale 4: While cholesterol intake is important to determining the risk of cardiovascular disease, it does not play a role in the etiology of osteoporosis.
Global Rationale: Osteoporosis is associated with a deficiency of calcium. Milk provides the most readily available form of calcium. Weight loss and decreased weight bearing are associated with osteoporosis. A personal history of smoking is a risk factor for osteoporosis. While cholesterol intake is important to determining the risk of cardiovascular disease, it does not play a role in the etiology of osteoporosis.