1. 1) A nurse is caring for a client with

hyperparathyroidism and notes that

the client's serum calcium level is 13

mg/dL. Which medication should the

nurse prepare to administer as

prescribed to the client?

1. Calcium chloride

2. Calcium gluconate

3. Calcitonin (Miacalcin)

4. Large doses of vitamin D

3. Calcitonin (Miacalcin)

Rationale:

The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing

hypercalcemia. Calcium gluconate andcalciumchloridearemedications

usedforthe treatment of tetany, which occurs as a result of acute

hypocalcemia. In hypercalcemia, large doses of vitamin D need to be avoided.

Calcitonin, a thyroid hormone, decreases the plasma calcium level by inhibiting

bone resorption and lowering the serum calcium concentration.

4. Orange juice

2. 2.) Oral iron supplements are

prescribed for a 6-year-old child with

iron deficiency anemia. The nurse

instructs the mother to administer the

iron with which best food item?

1. Milk

2. Water

3.Apple juice

4. Orange juice

3. 3.) Salicylic acid is prescribed for a

client with a diagnosis of psoriasis.

The nurse monitors the client,

knowing that which of the following

would indicate the presence of

systemic toxicity from this

medication?

1. Tinnitus

2.Diarrhea

3. Constipation

4. Decreased respirations

4. 4.) The camp nurse asks the children

preparing to swim in the lake if they

have applied sunscreen. The nurse

reminds the children that chemical

sunscreens are most effective when

applied:

1. Immediately before swimming

2.15 minutes before exposure to the

sun

3. Immediately before exposure to the

sun

4. At least 30 minutes before

exposure to the sun

5. 5.) Mafenide acetate (Sulfamylon) is

prescribed for the client with a burn

injury. When applying the medication,

the client complains of local

discomfort and burning. Which of the

following is the most appropriate

nursing action?

1. Notifying the registered nurse

2.Discontinuing the medication

3.Informing the client that this isnormal

4. Applying a thinner film thanprescribed to the burn site

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