Which assessment finding made by the nurse may indicate the onset of hypoparathyroidism?

• A. Weight gain
• B. Elevated blood glucose levels
• C. Muscle cramps and spasms
• D. Increased heart rate

Answer: (C)

Verified step by step guidance

1. Understand the role of the parathyroid glands: The parathyroid glands are responsible for regulating calcium levels in the blood through the secretion of parathyroid hormone (PTH).
2. Identify the symptoms of hypoparathyroidism: Hypoparathyroidism is characterized by low levels of PTH, leading to decreased calcium levels in the blood (hypocalcemia).
3. Recognize the clinical manifestations of hypocalcemia: Low calcium levels can cause neuromuscular symptoms such as muscle cramps, spasms, and tingling sensations, particularly in the hands and feet.
4. Evaluate the given assessment findings: Compare the symptoms associated with hypoparathyroidism (muscle cramps and spasms) with the other options provided (weight gain, elevated blood glucose levels, increased heart rate).
5. Conclude that muscle cramps and spasms are indicative of hypoparathyroidism due to their direct relation to hypocalcemia, which results from low PTH levels.