ATI Pharmacology Proctored Test Bank complete questions and answers with rationale docs 2021

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ATI Pharmacology Proctored Test Bank complete questions and answers with rationales 2021>1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 1... 3 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 D2. 2.) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which best food item?.Milk 2.Water 3.Apple juice4. Orange juice3. 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.Constipation4. Decreased respirations4. 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:1Immediately before swimming2.15 minutes before exposure to the sun3.Immediately before exposure to the sun4.At least 30 minutes before exposure to the sun5. 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 nurse2.Discontinuing the medication 3.Informing the client that this isnormal4. Applying a thinner film than prescribed to the burn site3.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, 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.4.Orange juice 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. 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. 4. At least 30 minutes before exposure 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. 3.Informing the client 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, 2, and 4 are incorrect [Show More]

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