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