A patient has been diagnosed with hyperplasia of the parathyroid ...

[pepyto]

A patient has been diagnosed with hyperplasia of the parathyroid gland. Which of the following alterations in blood values will you expect to observe?
 
  A) Hypercalcemia
  B) Hypoparathyroidism
  C) Hyperthyroidism
  D) Hypocalcemia

Question 2

A patient with hand trauma following a gunshot wound currently has bier block anesthesia with lidocaine. What assessment finding should signal the nurse to the possibility that the patient has local anesthetic systemic toxicity (LAST)?
 
  A) The patient has become intensely anxious and agitated.
  B) The patient has complained of nausea and had an episode of blood-tinged emesis.
  C) The patient's heart rate has become bradycardic and irregular.
  D) The patient states that he still has sensation in his hand.

[kswal303]

Answer to Question 1

A
Feedback:
Hyperparathyroidism is most often caused by a tumor or hyperplasia of a parathyroid gland. Hypoparathyroidism, hyperthyroidism, and hypothyroidism are not associated with hyperplasia of the parathyroid gland. Clinical manifestations and treatment of hyperparathyroidism are the same as those of hypercalcemia.

Answer to Question 2

A
Feedback:
Initial symptoms of LAST may include analgesia, circumoral numbness, metallic taste, tinnitus or auditory changes, and agitation. Nausea, dysrhythmias, and continued sensory nerve function do not suggest LAST.

[pepyto]

TYSM

[xiazhe]

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