In planning care for a patient with hyperparathyroidism, which concept is correct?

In planning care for a patient with hyperparathyroidism, which concept is correct?

• A. Clients with hyperthyroidism must be monitored for weight gain.
• B. Clients who have diabetes insipidus should be assessed for fluid excess.
• C. Clients who have hyperparathyroidism should be protected against falls.
• D. Clients with Cushing's syndrome are likely to experience episodic hypotension.

Answer: (C)

The main concept is preventing injury from bone fragility in hyperparathyroidism. Excess parathyroid hormone increases bone resorption, leading to lower bone density and a higher risk of fractures. Because falls can result in serious fractures in this context, protecting the patient from falls is the most appropriate planning focus. Implement fall-prevention strategies such as a clutter-free environment, clear pathways, non-slip footwear, assistive devices as needed, adequate lighting, and regular mobility assessment. The other statements relate to different disorders or mischaracterizations and do not address the specific osteoporosis and fracture-risk risk seen with hyperparathyroidism.

The main concept is preventing injury from bone fragility in hyperparathyroidism. Excess parathyroid hormone increases bone resorption, leading to lower bone density and a higher risk of fractures. Because falls can result in serious fractures in this context, protecting the patient from falls is the most appropriate planning focus. Implement fall-prevention strategies such as a clutter-free environment, clear pathways, non-slip footwear, assistive devices as needed, adequate lighting, and regular mobility assessment. The other statements relate to different disorders or mischaracterizations and do not address the specific osteoporosis and fracture-risk risk seen with hyperparathyroidism.