Which client is at greatest risk for hyperparathyroidism?
A. 28-year-old client with pregnancy-induced hypertension
B. 45-year-old client receiving dialysis for end-stage renal disease
C. 55-year-old client with moderate congestive heart failure after myocardial infarc-tion
D. 60-year-old client on home oxygen therapy for chronic obstructive pulmonary disease
B
Clients who have chronic renal failure do not completely activate vitamin D and poorly absorb calcium from the GI tract. They are chronically hypocalcemic, which triggers overstimulation of the parathyroid glands.
You might also like to view...
The nurse is caring for a 79-year-old man who has returned to the postsurgical unit following abdominal surgery
The patient is unable to ambulate and is now refusing to wear an external pneumatic compression stocking. The nurse should explain that refusing to wear external pneumatic compression stockings increases his risk of what postsurgical complication? A) Sepsis B) Infection C) Pulmonary embolism D) Hematoma
A nurse is caring for a postoperative patient following lung surgery who is reluctant to cough and has a shallow, monotonous respiratory pattern. The patient may be at an increased risk for which of the following?
A) Increased oxygen saturation B) Atelectasis C) Aspiration D) Malnutrition
A patient is scheduled to have a lower extremity amputation. What action by the nurse takes priority?
a. Discuss stump management and prosthe-ses. b. Ensure informed consent is on the chart. c. Determine the patient's goal for pain con-trol. d. Administer the preoperative antibiotic.
Hearing tends to decline after 50 years of age because of deterioration of:
a. hair cells of the organ of Corti. b. the eustachian tube. c. the helix. d. cerumen.