The nurse would anticipate that the patient with hyperparathyroidism would exhibit a history of:

The nurse would anticipate that the patient with hyperparathyroidism would exhibit a history of:

• A. Fatigue, hyperactive reflexes, muscle cramps, and twitching.
• B. Poor muscle tone, bone pain, urinary calculi, and fractures.
• C. Hunger, thirst, and urinary retention.
• D. Tachycardia, air hunger, and nervousness

Answer: (B)

Excess parathyroid hormone raises blood calcium (hypercalcemia) by pulling calcium from bone, increasing kidney reabsorption, and enhancing intestinal absorption. This shift produces bone- and kidney-related problems and generalized weakness. The bone resorption weakens bone structure, causing bone pain and a higher risk of fractures. The elevated calcium also leads to calcium precipitation in the kidneys, resulting in urinary calculi. Additionally, high calcium dampens neuromuscular activity, producing poor muscle tone and fatigue. The other symptom patterns fit different conditions: hyperactive reflexes and muscle twitching point to low calcium states; symptoms like thirst and urinary retention suggest diabetes, and tachycardia with nervousness aligns more with hyperthyroid or anxiety states.

Excess parathyroid hormone raises blood calcium (hypercalcemia) by pulling calcium from bone, increasing kidney reabsorption, and enhancing intestinal absorption. This shift produces bone- and kidney-related problems and generalized weakness. The bone resorption weakens bone structure, causing bone pain and a higher risk of fractures. The elevated calcium also leads to calcium precipitation in the kidneys, resulting in urinary calculi. Additionally, high calcium dampens neuromuscular activity, producing poor muscle tone and fatigue.

The other symptom patterns fit different conditions: hyperactive reflexes and muscle twitching point to low calcium states; symptoms like thirst and urinary retention suggest diabetes, and tachycardia with nervousness aligns more with hyperthyroid or anxiety states.