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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