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 A
Explanation
Rationale:
A. Diarrhea causes loss of bicarbonate (HCO₃⁻) from the intestines, leading to metabolic acidosis. This is a common non-anion gap cause of metabolic acidosis.
B. While salicylate intoxication can initially cause respiratory alkalosis, it may later lead to mixed acid-base disturbances, including metabolic acidosis. However, it is not the most direct or common cause in this context.
C. Hyperventilation causes respiratory alkalosis, not metabolic acidosis, due to excessive loss of CO₂.
D. Vomiting leads to loss of gastric acid (HCl), which typically results in metabolic alkalosis, not acidosis
Correct Answer is D
Explanation
Rationale:
A. Bronchoscopy allows for direct visualization of the airways and may be used for sampling or clearing secretions but does not assess acid-base balance.
B. Pulmonary function tests evaluate lung volume and airflow but are not specific to acid-base status.
C. Pulse oximetry measures oxygen saturation, which reflects oxygenation but not CO₂ levels or pH status.
D. Arterial blood gases (ABGs) are the most accurate test for evaluating acid-base balance, as they provide values for pH, PaCO₂, HCO₃⁻, and PaO₂ — essential indicators in COPD management.
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