Which of the following scenarios place the client at a high risk for developing hypoparathyroidism and require close supervision for assessing for development of muscle cramps, carpopedal spasm, convulsions, and paresthesia in the hands and feet?
Select all that apply.
A) A neck cancer client returning from OR after having a radical neck dissection
B) A hyperthyroid client experiencing a "thyroid storm" requiring urgent thyroidectomy
C) A client with seizure experiencing some anoxic deficits and memory loss
D) A client with a history of human papillomavirus (HPV) in the uvula
Ans: A, B
Feedback:
Hypoparathyroidism reflects deficient PTH secretion, resulting in low serum levels of ionized calcium. PTH deficiency may occur because of a congenital absence of all of the parathyroid glands or because of an acquired disorder due to inadvertent removal or irreversible damage to the glands during thyroidectomy, parathyroidectomy, or radical neck dissection for cancer. Seizures or history of HPV is not associated with this disorder.
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