Which complication would the nurse be concerned Tetany
about if there is removal of the parathyroid glands -
during a thyroidectomy? Parathyroid removal eliminates the body's source of parathyroid hormone,
which increases the blood calcium level. The resulting low body fluid
calcium affects muscles resulting in tetany. Loss of the thyroid gland will
upset thyroid hormone balance and may cause myxedema. The parathyroids
are not involved in regulating plasma volume; the pituitary and adrenal
glands are responsible. The parathyroids do not regulate the adrenal glands.
Which clinical manifestation is indicative of the fluid Muscle spasms
and electrolyte imbalance associated with a -
parathyroidectomy? Removal of the parathyroids causes hypocalcemia and associated
neuromuscular irritability. Constipation is a sign of hypercalcemia.
Hypoactive reflexes are signs of hypercalcemia. Increased specific gravity is
a sign of fluid volume deficit.
Page 1 of 14
, HESI Prep_ Endocrine System Study guide Q&A
A client is diagnosed with parathyroid dysfunction. 7.8 mg/dL
Which serum calcium concentration supports the -
diagnosis? The normal serum calcium concentration ranges from 8.6 to 10.2 mg/dL. A
serum calcium concentration below 8.6 mg/dL indicates hypocalcemia, and
a serum calcium concentration above 10.2 mg/dL indicates hypercalcemia.
Parathyroid hormone maintains calcium balance in the body. Hypocalcemia
reflects hypoparathyroidism, and hypercalcemia suggests
hyperparathyroidism. The serum calcium concentration of 7.8 mg/dL is below
the normal range and indicates hypocalcemia. Therefore, the client may
have hypoparathyroidism, which is a parathyroid dysfunction. Serum calcium
concentrations of 8.9 mg/dL, 9.7 mg/dL, and 10.2 mg/dL are all normal
findings.
Page 2 of 14