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A nurse is caring for a patient with hyperparathyroidism. Which lab finding indicates a high risk of psychosis?

1) Serum calcium 15 mg/dL
2) Serum phosphorous 3.1 mg/dL
3) Serum magnesium 2.1 mEq/L
4) Serum parathyroid hormone 60 pg/mL

User Boxmein
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Final answer:

The indication of a high risk of psychosis in a patient with hyperparathyroidism is a serum calcium level of 15 mg/dL, demonstrating hypercalcemia. Hyperparathyroidism results in increased serum calcium levels, which can lead to mental disturbances such as psychosis.

Step-by-step explanation:

The student's question pertains to the identification of a lab finding that indicates a high risk of psychosis in a patient with hyperparathyroidism.

Among the options provided, the correct lab finding that would indicate such a risk is serum calcium 15 mg/dL, which represents hypercalcemia. Hyperparathyroidism leads to an increase in serum calcium levels, typically ranging from 12-22 mg/dL. This condition can indeed cause mental disturbances including psychosis due to the high levels of calcium in the blood.

The other options, namely serum phosphorus of 3.1 mg/dL, serum magnesium of 2.1 mEq/L, and serum parathyroid hormone of 60 pg/mL do not directly indicate the risk of psychosis associated with hyperparathyroidism. Note: Psychosis is a severe mental disorder in which thought and emotions are so impaired that contact is lost with external reality.

User Szatmary
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