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. Calciumchloride

2. Calciumgluconate

3. Calcitonin(Miacalcin)

4. Large doses of vitaminD

2.2.)Oralironsupplementsareprescribedfor 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. Applejuice

4. Orangejuice

3.3.)Salicylicacidisprescribedforaclient

with a diagnosis of psoriasis. The nurse

monitorstheclient,knowingthatwhichof

thefollowingwouldindicatethepresence

ofsystemictoxicityfromthismedication?

1. Tinnitus

2. Diarrhea

3. Constipation

4. Decreasedrespirations

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 beforeswimming

2. 15minutesbeforeexposuretothesun

3. Immediatelybeforeexposuretothesun

4. At least 30 minutes before exposure to

thesun

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 registerednurse

2. Discontinuing themedication

3. Informing the client that this isnormal

4. Applyingathinnerfilmthanprescribed

to the burnsite

3. Calcitonin(Miacalcin)

Rationale:

Thenormalserumcalciumlevelis8.6to10.0mg/dL.Thisclientisexperiencing

hypercalcemia.Calciumgluconateandcalciumchloridearemedicationsusedforthe

treatment of tetany, which occurs as a result of acute hypocalcemia. In

hypercalcemia,largedosesofvitaminDneedtobeavoided.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

instructedtoadministerthemedicationwithacitrusfruitorajuicethatishighin

vitaminC.Milkmayaffectabsorptionoftheiron.Waterwillnotassistinabsorption.

OrangejuicecontainsagreateramountofvitaminCthanapplejuice.

1. Tinnitus

Rationale:

Salicylicacidisabsorbedreadilythroughtheskin,andsystemictoxicity(salicylism)

canresult.Symptomsincludetinnitus,dizziness,hyperpnea,andpsychological

disturbances.Constipationanddiarrheaarenotassociatedwithsalicylism.

4.Atleast30minutesbeforeexposuretothesun

Rationale:

Sunscreensaremosteffectivewhenappliedatleast30minutesbeforeexposureto

thesunsothattheycanpenetratetheskin.Allsunscreensshouldbereappliedafter

swimming orsweating.

3.Informingtheclientthatthisisnormal

Rationale:

Mafenideacetateisbacteriostaticforgram-negativeandgram-positiveorganisms

andisusedtotreatburnstoreducebacteriapresentinavasculartissues.Theclient

shouldbeinformedthatthemedicationwillcauselocaldiscomfortandburningand

thatthisisanormalreaction;thereforeoptions1,2,and4areincorrect