A nurse is caring for a client with hypercalcemia who is prescribed nasal calcitonin. How would the nurse teach the patient to administer the medication?
Notify MD if nose bleeds occur
Clean the nostril with a q-tip and saline before and after administration
Alternate nostrils daily
Encourage the client to take vitamin D supplements
The Correct Answer is C
Rationale:
A. While nosebleeds should be reported, this is not an administration instruction.
B. Cleaning the nostril before and after is not typically required and could irritate mucosa.
C. Alternating nostrils daily helps prevent irritation and promotes better absorption, which is the correct teaching.
D. Vitamin D supplements may increase calcium levels, which is contraindicated in hypercalcemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. While nosebleeds should be reported, this is not an administration instruction.
B. Cleaning the nostril before and after is not typically required and could irritate mucosa.
C. Alternating nostrils daily helps prevent irritation and promotes better absorption, which is the correct teaching.
D. Vitamin D supplements may increase calcium levels, which is contraindicated in hypercalcemia.
Correct Answer is C
Explanation
Rationale:
A. Decreased PaCO₂ occurs in respiratory alkalosis, not metabolic alkalosis.
B. Increased PaCO₂ may occur as compensation, but in uncompensated metabolic alkalosis, this has not yet occurred.
C. In metabolic alkalosis, especially from vomiting (loss of gastric acid), there is a primary increase in bicarbonate (HCO₃⁻).
D. Decreased pH is associated with acidosis, not alkalosis.
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