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

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 is normal

4. Applying a thinner film than prescribed

to the burn site

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, largedoses of vitamin D need to be avoided. Calcitonin, a thyroid

hormone, decreases the plasma calcium level by inhibiting bone resorption and

lowering the serum calciumconcentration.

4. Orange juice

Rationale:

Vitamin C increases the absorption of iron by the body. The mother should be

instructedtoadminister themedication with a citrus fruit or a juicethatis high in

vitaminC. Milkmayaffectabsorptionoftheiron.Waterwillnotassistinabsorption.

Orange juice contains a greater amount of vitamin C than apple juice.

1. Tinnitus

Rationale:

Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism)

canresult.Symptoms includetinnitus,dizziness,hyperpnea,andpsychological

disturbances. Constipation and diarrhea arenot associated with salicylism.

4. Atleast 30 minutes beforeexposureto the sun

Rationale:

Sunscreens aremost effective when applied at least 30 minutes beforeexposure to

thesun so thattheycan penetratetheskin. All sunscreens should be reappliedafter

swimming or sweating.

3. Informing the clientthatthis is normal

Rationale:

Mafenideacetateis bacteriostatic forgram-negativeandgram-positive organisms

andis usedtotreatburns toreducebacteria presentinavascular tissues. Theclient

shouldbeinformedthatthemedication will causelocal discomfortandburningand

that this is a normal reaction; therefore options 1, 2, and 4 are incorrect