A nurse is caring for a client with hyperparathyroidism and notes that the
client's serumcalcium 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, whichoccurs 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.
10.) The clinic nurse is performing an admission assessment on a client. The
nurse notes that theclient is taking azelaic acid (Azelex). Because of the
medication prescription, the nurse would suspect that the client is being
treated for:
1. Acne
2. Eczema
3. Hair loss
4. Herpes simplex 1.
AcneRationale:
Azelaic acid is a topical medication used to treat mild to moderate acne. The
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QUESTIONS , ANSWERS AND RATIONALE}
acid appears to work by suppressing the growth of Propionibacterium acnes
and decreasing the proliferation ofkeratinocytes. Options 2, 3, and 4 are
incorrect.
100.) Saquinavir (Invirase) is prescribed for the client who is human
immunodeficiency virusseropositive. The nurse reinforces medication
instructions and tells the client to:
1. Avoid sun exposure.
2. Eat low-calorie f
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