Question

A nurse has reinforced instructions to the client with hyperparathyroidism regarding home care measures related to exercise. Which statement by the client indicates a need for further instruction? Select all that apply.

1. "I enjoy exercising but I need to be careful."
2. "I need to pace my activities throughout the day."
3. "I need to limit playing football to only the weekends."
4. "I should gauge my activity level by my energy level."
5. "I should exercise in the evening to encourage a good sleep pattern."

Answer 1

High-impact activities like football may heighten the risk of fractures in individuals with hyperparathyroidism, and exercising in the evening can disrupt sleep patterns. Clients should be educated on the benefits of low-impact exercises and pacing activities throughout the day due to their condition which leads to weakened bones and potential nervous system issues.

Step-by-step explanation:

Clients with hyperparathyroidism need to manage their condition through lifestyle measures including careful exercise due to the structural weakness of bones and potential nervous system impairment from high blood calcium levels. The statements that indicate a need for further instruction are:

• “I need to limit playing football to only the weekends.”
• “I should exercise in the evening to encourage a good sleep pattern.”

These statements suggest misconceptions as high-impact activities like football may increase the risk of fractures and exercising close to bedtime can interfere with sleep. Regular, low-impact activities that are paced throughout the day are generally more appropriate. The client should also be aware that overexertion or high-impact activities could exacerbate the condition due to the weakened state of their bones.