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ATI PN PHARMACOLOGY PROCTORED EXAM TEST BANK WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED RATIONALES ANSWERS LATEST 2024 ||COMPLETE A+ GUIDE$16.49
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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 prepare to administer as prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D
Answer>> 3. Calcitonin(Miacalcin)
,Page 2 of 207
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is
experiencinghypercalcemia. 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. 2.) Oral iron supplements are prescribed for a 6-year-old child with
irondeficiency 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
Answer>> 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. 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
2. Diarrhea
3. Constipation
,Page 3 of 207
4. Decreased respirations
Answer>> 1.Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic toxicity
(salicylism)can result. Symptoms include tinnitus, dizziness, hyperpnea, and
psychological disturbances. Constipation and diarrhea are not associated with
salicylism.
, Page 4 of 207
4. 4.) The camp nurse asks the children preparing to swim in the lake if
they have applied sunscreen. The nurse reminds the children that chemical
sunscreens are most effective 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 to the sun
Answer>> 4. At least 30 minutes beforeexposure to the sun
Rationale:
Sunscreens are most effective when applied at least 30 minutes before exposure
to the sun so that they can penetrate the skin. All sunscreens should be
reapplied after swimming or sweating.
5. 5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a
burn in- jury. 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 prescribed to the burn site
Answer>> 3. Informing theclient that this is normal
Rationale:
Mafenide acetate is bacteriostatic for gram-negative and gram-positive
organisms and is used to treat burns to reduce bacteria present in avascular
tissues. The client should be informed that the medication will cause local
discomfort and burning and that this is a normal reaction; therefore options 1,
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