1) A n u rse is c arin g fo r a c lient wit h hy p e rpa r a t hy r o idi s m a n d no t e s th a t

t h e c lient's s e r u m ca lci u m level is 13 m g / dL . W h i c h m e d i c a tio n s h o u ld t h e

n u rse pr e pa re to a d minist e r a s pr e s c ribe d to t h e client?

1. Calcium chloride

1. Calcium gluconate

2. Calcitonin (Miacalcin)

3. L a r g e do s e s o f vit a min D

4. 3. Calcitonin(Miacalcin)

Rationa le:

Th e normal se rum calcium level is 8.6 to 10.0 mg /dL. Thi s client is

experienc ing hypercalcemia. Calcium gluconate and cal c ium chloride

are medications used for the treatmen t of tetany , wh i ch occur s as a

result of acute hypoc alcemia. In hypercalcemia, large doses of vitamin

D n ee d to be avoided. Calcitonin, a thyroid h or mon e , decreases the

plasma calcium level by inhibiting bone resorption and lowering the

se r u m calc ium concentration.

2.) Oral iron supplements are presc ribed for a 6 -year-old child with iron

defic iency anemia. Th e nur se instructs the mo the r to admini ster the iron

with wh i ch best food item?

1. Milk

1. Water

2. Apple juice

3. Or an g e juice

4. Orangejuice

Rationale:

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

be instructed to administer the medication with a citrus fruit or a juice

that is high in vitamin C. Milk m ay affect absorption of the iron. Wate r will

not assi st in absorption. Or an ge juice contains a greater am oun t of

vitamin C than apple juice.

3.) Salicylic ac id is pr es c ribe d for a client w it h a diagno s is of psorias i s.

Th e nur se monitor s the client, knowi ng that whi ch of the following wou ld

indi c a te t h e pr e s e nc e o f s y st e mic tox ic ity f r o m this me dic a tio n?

1. Tinnitus

1. Diarrhea

2. Constipation

3. De creased respirations