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

1. Calcium gluconate

2. Calcitonin (Miacalcin)

3. Large doses of vitamin D

4. 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

1. Water

2. Apple juice

3. Orange juice

4. Orangejuice

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.

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

1. Diarrhea

2. Constipation