Assessment of Endocrine System Lewis: Medical-Surgical Nursing, 10th Edition

A 61-yr-old female patient admitted with pneumonia has a total serum calcium level of 13.3 mg/dL (3.3 mmol/L). The nurse will anticipate the need to teach the patient about testing for _____ levels. a. calcitonin b. catecholamine c. thyroid hormone d. parathyroid hormone - ANS: D Parathyroid hormone (PTH) is the major controller of blood calcium levels. Although calcitonin secretion is a countermechanism to PTH, it does not play a major role in calcium balance. Catecholamine and thyroid hormone levels do not affect serum calcium level. DIF: Cognitive Level: Apply (application) REF: 1103 TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity A patient has been newly diagnosed with type 2 diabetes mellitus. Which information about the patient will be most useful to the nurse who is helping the patient develop strategies for successful adaptation to this disease? a. Ideal weight c. Activity level b. Value system d. Visual changes - ANS: B When dealing with a patient with a chronic condition such as diabetes, identification of the patient's values and beliefs can assist the interprofessional team in choosing strategies for successful lifestyle change. The other information also will be useful but is not as important in developing an individualized plan for the necessary lifestyle changes. DIF: Cognitive Level: Analyze (analysis) REF: 1111 TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity A patient is admitted with tetany. Which laboratory value should the nurse plan to monitor? a. Total protein c. Ionized calcium b. Blood glucose d. Serum phosphate - ANS: C Tetany is associated with hypocalcemia. The other values would not be useful for this patient.