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 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 forthe treatment oftetany, 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.

10.) The clinic nurse is performing an admission assessment on a client. The nurse notesthat the

client is taking azelaic acid (Azelex). Because of the medication prescription, the nurse would

suspect that the client is being treated for:

1. Acne

2. Eczema

3. Hair loss

4. Herpessimplex 1. Acne

Rationale:

Azelaic acid is a topical medication used to treat mild to moderate acne. The acid appears to

work by suppressing the growth of Propionibacterium acnes and decreasing the proliferation of

keratinocytes. Options 2, 3, and 4 are incorrect.

100.) Saquinavir (Invirase) is prescribed for the client who is human immunodeficiency virus

seropositive. The nurse reinforces medication instructions and tells the client to