The nurse is reviewing the manifestations of hyperparathyroidism with a patient. Which statements by the patient indicate that teaching has been effective?
Select all that apply.
1. "Hyperparathyroidism can cause the kidneys to keep calcium and excrete phosphorus."
2. "Calcium and phosphorus leave the bones and make them weak."
3. "Calcium is deposited in soft tissues."
4. "Kidney stones can develop."
5. "The kidneys work to raise blood pH and retain potassium."
Correct Answer: 1, 2, 3, 4
Hyperparathyroidism is characterized by increased resorption of calcium and excretion of phosphate by the kidneys, which increases the risk of hypercalcemia and hypophosphatemia. The release of calcium and phosphorus by the bones can lead to bone decalcification, deposit of calcium in soft tissues, and the formation of renal calculi. Hyperparathyroidism causes the kidneys to lower blood pH and excrete potassium.
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