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 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.

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

4. Orange juice

Rationale:

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