The nurse is managing the care for a client with hyperparathyroidism, and is reviewing the client's list of prescribed and over-the-counter medications. Which medication(s) on the client's current medication record should the nurse discuss further with the healthcare provider? Select all that apply.
Lithium carbonate.
Hydrochlorothiazide.
Sodium phosphate supplement.
Calcium carbonate.
Acetaminophen.
Correct Answer : A,B,D
A. Lithium can increase parathyroid hormone (PTH) levels, worsening hyperparathyroidism.
B. Hydrochlorothiazide can raise calcium levels, further exacerbating hypercalcemia in hyperparathyroidism.
C. Sodium phosphate supplements can lower calcium levels, which may actually help, so it does not require immediate discussion.
D. Calcium carbonate can contribute to hypercalcemia and should be used cautiously.
E. Acetaminophen is safe and does not affect calcium levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E","F","G"]
Explanation
A. Place ice packs around the client's head: This is a cooling intervention used for hyperthermia, not for treating hypothermia.
B. Microwave a pack of gauze and distribute across the body: This is unsafe, as microwaved materials can cause burns and do not provide effective heat distribution.
C. Administer intravenous fluids with a rapid infuser: Rapid infusion of warmed IV fluids can help restore core body temperature and prevent further hypothermia.
D. Check the temperature of the humidified oxygen attached to the ventilator: Cold or dry oxygen can contribute to heat loss, so ensuring that the humidified oxygen is warmed is an important step in maintaining normothermia.
E. Instill warm fluids in the nasogastric tube: Lavage with warm fluids via NG tube is an effective method of internal warming for hypothermic patients.
F. Use a fluid warmer for intravenous fluids: Warming IV fluids before administration prevents additional heat loss that could occur if room-temperature fluids are given.
G. Apply warm blankets: Passive external warming using warm blankets is an easy and effective intervention to increase body temperature.
H. Administer an antipyretic: Antipyretics (e.g., acetaminophen, ibuprofen) are used for fevers, not for hypothermia.
Correct Answer is C
Explanation
A: Observing the adolescent demonstrate the technique to another person may be helpful, but it does not directly assess the adolescent’s own ability to perform the skill.
B: Reviewing glycosylated hemoglobin levels 3 months later will not assess the immediate effectiveness of the teaching or the adolescent’s ability to perform insulin injections.
C: Asking the adolescent to list the steps ensures that they can recall and understand the procedure, confirming that the teaching has been effective and that the adolescent is capable of performing insulin injections safely.
D: Asking about comfort level is important for emotional support but does not directly assess the technical competency required for insulin administration.
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