The nurse is caring for a client with hypocalcemia. In planning to meet the client's needs, the nurse would expect which alteration?
1. An increased level of parathyroid hormone
2. An increased level of serum calcium
3. A decreased level of parathyroid hormone
4. A decreased level of T3 and/or T4
Correct Answer: 1
Rationale 1: Hypocalcemia is noted by the parathyroid gland, which releases parathyroid hormone, which strives to increase the calcium level back to normal via increased absorption and decreased excretion.
Rationale 2: Hypocalcemia refers to low serum calcium.
Rationale 3: There would not be a decreased level of parathyroid hormone in a client with hypocalcemia.
Rationale 4: Levels of T3 and T4 are not impacted by low serum calcium.
Global Rationale: Hypocalcemia is noted by the parathyroid gland, which releases parathyroid hormone, which strives to increase the calcium level back to normal via increased absorption and decreased excretion. Hypocalcemia refers to low serum calcium. Levels of T3 and T4 are not impacted by low serum calcium.
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