Medical Surgical Parathyroid #2

Question

Which will the nurse expect in a client diagnosed with hyperparathyroidism? Select all that apply.

Answers

  1. Bone pain
    • Rationale:

      This answer is correct because symptoms associated with hyperparathyroidism and hypercalcemia include bone pain, urolithiasis (kidney stones), and constipation. The reason the individual with hyperparathyroidism has bone pain is due to the action of the parathyroid hormone on bones, making the calcium come out of the bones, thus elevating the calcium in the blood.

  2. Steatorrhea
    • Rationale:

      This answer is not correct because steatorrhea is associated with malabsorption conditions, such as celiac disease. Instead, hyperparathyroidism produces constipation, due to elevated calcium in the blood.

  3. Serum calcium of 7.9 mg/dL
    • Rationale:

      This answer is not correct because calcium levels will be elevated (>10.5 mg/dL) in hyperparathyroidism, not low. The normal levels of serum calcium is 9-10.5 mg/dL.

  4. Urolithiasis
    • Rationale:

      This answer is correct because symptoms associated with hyperparathyroidism and hypercalcemia include bone pain, urolithiasis (kidney stones), and constipation. The kidneys have to filter all the blood with the extra calcium so kidney stones form with hyperparathyroidism.

  5. Constipation
    • Rationale:

      This answer is correct because hyperparathyroidism produces constipation, due to elevated calcium in the blood. Other symptoms include bone pain and urolithiasis (kidney stones).

Overview

Hyperparathyroidism is a condition where the body produces too much parathyroid hormone (PTH). The nurse can expect clinical manifestations of bone pain, urolithiasis (kidney stones), constipation, and elevated calcium levels in a client diagnosed with hyperparathyroidism.

Explanation

Learning Outcomes

Hyperparathyroidism is a condition where the body produces too much parathyroid hormone (PTH). PTH is instrumental in regulating and balancing phosphorus and calcium. When the individual has hyperparathyroidism, they also have hypercalcemia. Calcium levels will be over 10.5 mg/dL in hypercalcemia and hyperparathyroidism. Symptoms associated with hyperparathyroidism and hypercalcemia include bone pain, urolithiasis (kidney stones), and constipation.

Test Taking Tip

Just like when clients take calcium supplements, there is a risk for kidney stones and constipation, so the body naturally produces too much calcium due to hyperparathyroidism.

Video Rationale