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 prepareto

administer as prescribed to the client?

1. Calcium chloride

2. Calcium gluconate

3. Calcitonin (Miacalcin)

4. Large doses of vitamin D

2. 2.) Oral iron supplements are prescribed fora 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

3. 3.) Salicylic acid is prescribed for a clientwith

a diagnosis of psoriasis. The nurse monitors

the client, knowing that which of thefollowing

wouldindicatethepresenceof systemic

toxicity from this medication?

1. Tinnitus

2. Diarrhea

3. Constipation

4. Decreased respirations

4. 4.) The camp nurse asks the children preparing

to swim in the lake if they haveapplied

sunscreen. The nurse reminds thechildren that

chemical sunscreens are mosteffective when

applied:

1. Immediately before swimming

2. 15 minutes before exposure to the sun

3. Immediately before exposure to the sun

4. At least 30 minutes before exposure tothe

sun

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 registered nurse

2. Discontinuing the medication

3. Informing the client that this is normal

4. Applying a thinner film than prescribedto

the burn site

3. Calcitonin (Miacalcin)

Rationale:

The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencinghypercalcemia.

Calciumgluconateandcalciumchloridearemedicationsusedforthetreatment of tetany, which

occurs as a result of acute hypocalcemia. In hypercalcemia,largedosesofvitaminDneedtobe

avoided.Calcitonin,athyroid hormone, decreases the plasma calcium level by inhibiting bone

resorption andlowering the serum calciumconcentration.

4. Orange juice

Rationale:

Vitamin C increases the absorption of ironby the body.The mother should be instructedto

administerthemedicationwithacitrusfruitorajuicethatishighin vitaminC.Milkmay

affectabsorptionoftheiron.Waterwillnotassistinabsorption.Orangejuicecontains agreater

amountofvitaminC thanapplejuice.

1. Tinnitus

Rationale:

Salicylic acidis absorbed readily throughtheskin, and systemic toxicity (salicylism)canresult.

Symptomsincludetinnitus,dizziness,hyperpnea,andpsychological disturbances.Constipationand

diarrheaarenotassociatedwithsalicylism.

4.Atleast30minutesbeforeexposuretothesunRationale:

Sunscreens aremost effectivewhenappliedatleast 30 minutes beforeexposure tothesunsothat

theycanpenetratetheskin.Allsunscreensshouldbereappliedafterswimming orsweating.

3.Informingtheclientthatthis isnormalRationale:

Mafenideacetateis bacteriostatic forgram-negativeandgram-positive organismsandisusedto

treatburnstoreducebacteriapresentinavasculartissues.Theclient shouldbeinformedthatthe

medicationwillcauselocaldiscomfortandburningandthatthis isanormal reaction;therefore

options1,2,and4areincorrect