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 and calcium chloride are medications used

for 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 calcium concentration.

4. Orange juice

Rationale:

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

instructed to administer the medication with a citrus fruit or a juice that is

high in vitamin C. Milk may affect absorption of the iron. Water will not assist

in absorption. 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)

can result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological

disturbances. Constipation and diarrhea are not associated with salicylism.

4. At least 30 minutes before exposure to the

sun Rationale:

Sunscreens are most effective when applied at least 30 minutes before

exposure to the sun so that they can penetrate the skin. All sunscreens should

be reapplied after swimming or sweating.