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
Answer: Calcitonin
(Miacalcin) Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
hypercalcemia.Calciumgluconateandcalciumchloridearemedicationsusedfor the
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 calciumconcentration.
Answer: Orange
juice Rationale:
Vitamin C increases the absorption of iron by the body. The mother should be
instructedtoadminister themedication witha citrus fruit or ajuice thatis high in
vitaminC. Milkmay affectabsorptionoftheiron.Waterwill notassistinabsorption.
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 are not associated with salicylism.
4. Atleast 30 minutes beforeexposure tothesun
Rationale:
Sunscreens are most effective when applied at least 30 minutes beforeexposure to
thesun so thatthey can penetrate theskin. All sunscreens shouldbereappliedafter
swimming or sweating.
3. Informing the clientthat this is normal
Rationale:
Mafenideacetateisbacteriostatic forgram-negativeandgram-positiveorganisms
and is used totreatburns toreducebacteriapresentinavascular tissues. Theclient
shouldbeinformedthatthemedication will cause local discomfort andburningand
that this is a normal reaction; therefore options 1, 2, and 4 are incorrect
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