The nurse is reviewing client medical histories. Which client is at greatest risk for hyperparathy-roidism?

a. Client with pregnancy-induced hyperten-sion
b. Client receiving dialysis for end-stage kidney disease
c. Older adult client with moderate heart failure
d. Older adult client on home oxygen thera-py


B
Clients who have chronic kidney disease do not completely activate vitamin D and poorly absorb calcium from the GI tract. They are chronically hypocalcemic, and this triggers overstimulation of the parathyroid glands. The other factors do not place a client at higher risk for hyperparathy-roidism.

Nursing

You might also like to view...

A 15-year-old boy with a complex psychosocial history is being treated for inhalant abuse. When providing health education to this boy, the nurse should cite which of the following risks associated with inhalant abuse?

A) Hyperactivity B) Psychological dependence C) Physiological dependence D) Organ damage

Nursing

Why is CDS important for healthcare institutions? (Select all that apply)

a. It can reduce the need for registered nurses. b. It can help reduce medical errors. c. It is a required element of Meaningful Use regulations. d. It can help improve care value.

Nursing

While an adolescent wears a body brace for scoliosis, you would teach her

A) to continue with age-appropriate activities. B) to stand absolutely still whenever she is out of the brace. C) to wear the brace a maximum of 20 hours each day. D) that secondary sex changes will stop until the brace is removed.

Nursing

A patient with major depression has decided to begin a trial of acupuncture. What is the primary goal of this CAM intervention?

A) To redirect the flow of lymph in interstitial tissue B) To correct and balance the flow of energy C) To promote the synthesis of beneficial neurotransmitters D) To distract the client from his or her mental health disorder

Nursing