A nurse is caring for a client who has hyperparathyroidism. Based on this diagnosis, the nurse should monitor the client for which of the following complications?
Pathologic fractures
Fluid retention
Dysphagia
Impaired skin integrity
The Correct Answer is A
Rationale:
A. Hyperparathyroidism leads to elevated calcium levels, which can cause bone demineralization, resulting in pathologic fractures due to weakened bones.
B. Fluid retention is more commonly associated with conditions like heart failure or renal issues, not hyperparathyroidism.
C. Dysphagia is not a typical complication of hyperparathyroidism and may be related to other gastrointestinal issues.
D. Impaired skin integrity is not directly linked to hyperparathyroidism, although immobility or other factors could contribute to skin issues.
Free Nursing Test Bank
- Free Pharmacology Quiz 1
- Free Medical-Surgical Quiz 2
- Free Fundamentals Quiz 3
- Free Maternal-Newborn Quiz 4
- Free Anatomy and Physiology Quiz 5
- Free Obstetrics and Pediatrics Quiz 6
- Free Fluid and Electrolytes Quiz 7
- Free Community Health Quiz 8
- Free Promoting Health across the Lifespan Quiz 9
- Free Multidimensional Care Quiz 10
View Related questions
Correct Answer is C
Explanation
Rationale:
A. Normal pulse and respiratory rates do not indicate the expected tachycardia or Kussmaul respirations in DKA.
B. This option shows a slower heart rate, which is not typical of DKA where tachycardia is expected.
C. In diabetic ketoacidosis (DKA), clients typically exhibit tachycardia due to dehydration and deep, rapid Kussmaul respirations as the body attempts to correct the acidosis.
D. The vital signs in this option do not reflect the expected findings of DKA, such as tachycardia and deep respirations.
Correct Answer is D
Explanation
Rationale:
A. Hypertension does not contraindicate the use of sulfonylureas.
B. A blood glucose level of 140 mg/dL is a common finding in type 2 diabetes, and sulfonylureas are used to control such levels.
C. Shingles (herpes zoster) does not directly contraindicate the use of sulfonylureas.
D. Sulfonylureas should not be given to patients with a sulfa allergy because these medications contain sulfa compounds, which could cause an allergic reaction.