What patient will the nurse assess most closely for secondary hyperparathyroidism?
A) The 12-year-old patient with hypothyroidism
B) The 68-year-old patient with chronic renal failure
C) The 35-year-old patient with diabetes mellitus
D) The 48-year-old patient with hyperthyroidism
B
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Secondary hyperparathyroidism occurs most frequently in patients with chronic renal failure. Primary hyperparathyroidism occurs more often in women between 60 and 70 years of age. Although hyperparathyroidism can occur at any age, the patient with diabetes or thyroid disorder would not be at higher risk for the disorder.
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