NCLEX-RN · Question #493
A male client is diagnosed with hypoparathyroidism. He has been on dialysis for several years. He is experiencing symptoms such as numbness of the lips, muscle weakness, carpopedal spasms…
The correct answer is A. Detection of tetany. (A) Assessment should focus on detection of tetany, which is the most common symptom of hypoparathyroidism. Left undetected and untreated, tetany resulting from hypocalcemia can progress toseizures. (B) Hypocalcemia is difficult to detect on nursing assessment alone. Abdominal…
Question
A male client is diagnosed with hypoparathyroidism. He has been on dialysis for several years. He is experiencing symptoms such as numbness of the lips, muscle weakness, carpopedal spasms, andwheezing. Given the client's symptoms, nursing assessment would focus on:
Options
- ADetection of tetany
- BDetection of hypocalcemia to prevent seizures
- CEvidence of depression
- DDetection of premature cataract formation
How the community answered
(44 responses)- A75% (33)
- B2% (1)
- C16% (7)
- D7% (3)
Explanation
(A) Assessment should focus on detection of tetany, which is the most common symptom of hypoparathyroidism. Left undetected and untreated, tetany resulting from hypocalcemia can progress toseizures. (B) Hypocalcemia is difficult to detect on nursing assessment alone. Abdominal cramping may be an indication of hypocalcemia, but laboratory data are required to confirm diagnosis. (C) Depression can be a symptom of hypoparathyroidism, but it is not definitive. (D) Premature cataract formation can occur, but it also is not specific to parathyroidism and poses no immediate danger to the client.
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