The nurse is assessing a patient's understanding of hyperparathyroidism. The nurse knows further teaching is needed when the patient states that the primary health care provider can determine the patient has hyperparathyroidism when:
1. the patient has experienced at least two episodes of severe abdominal pain.
2. all other causes of high blood calcium levels have been ruled out.
3. the patient has had the symptoms of hyperparathyroidism for at least 6 months.
4. the patient's blood tests show high calcium and high parathyroid hormone levels.
Correct Answer: 1
Two episodes of abdominal pain may be symptomatic of hyperparathyroidism but are not diagnostic criteria. Hyperparathyroidism is diagnosed by excluding all other possible causes of hypercalcemia, by at least a six-month history of manifestations, and by laboratory analysis of serum calcium and PTH levels.
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