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

wouldindicate 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. 15minutes before exposure to the sun

3. Immediately before exposure tothe

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 athinner film than

prescribed to the burn site

3. Calcitonin (Miacalcin)

Rationale:

Thenormalserumcalciumlevelis8.6to10.0mg/dL.Thisclientis experiencing hypercalcemia.

Calciumgluconateandcalciumchloridearemedicationsusedforthe treatment of tetany, which

occurs as a result of acute hypocalcemia. In hypercalcemia,largedosesofvitaminDneedtobe

avoided.Calcitonin,athyroid 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 instructedto

administerthemedicationwithacitrusfruitorajuicethatishighin vitaminC.Milkmayaffect

absorptionoftheiron.Waterwillnotassistinabsorption. Orangejuicecontains a greater

amountofvitaminC thanapplejuice.

1. Tinnitus Rationale:

Salicylic acid is absorbed readily throughtheskin, and systemic toxicity (salicylism) canresult.

Symptomsincludetinnitus,dizziness,hyperpnea,andpsychological disturbances.

Constipationanddiarrheaarenotassociatedwithsalicylism.

4. At least 30 minutes before exposure to the sun

Rationale:

Sunscreensaremosteffectivewhenappliedatleast30minutesbeforeexposureto thesunsothat

theycanpenetratetheskin.Allsunscreensshouldbereappliedafter swimming or sweating.

3.Informingtheclientthatthis isnormal

Rationale:

Mafenideacetateisbacteriostaticforgram-negativeandgram-positiveorganisms andisusedto

treatburnstoreducebacteriapresentinavasculartissues.Theclient shouldbeinformedthatthe

medicationwillcauselocaldiscomfortandburningand thatthis is anormal reaction;therefore

options 1,2, and4areincorrect