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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Rationale:
A. Metabolic alkalosis occurs because vomiting causes loss of gastric hydrochloric acid (HCl), reducing hydrogen ions in the body and increasing blood pH. This is the most common acid-base imbalance associated with prolonged vomiting.
B. Respiratory alkalosis results from excessive loss of CO₂ due to hyperventilation, unrelated to vomiting.
C. Respiratory acidosis results from hypoventilation causing CO₂ retention; vomiting does not cause this.
D. Metabolic acidosis occurs when there is a loss of bicarbonate or accumulation of acids, such as in diarrhea or ketoacidosis, not typically from vomiting.

Correct Answer is ["125"]

Explanation

Rationale:
Flow rate (mL/hr) = Total volume (mL) ÷ Time (hr)
Flow rate = 500 mL ÷ 4 hr = 125 mL/hr

Rounded flow rate: 125 mL/hr

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

If a patient began vomiting and continued to do so for several hours, the nurse is aware that this loss of stomach contents can result in:

Correct Answer is A

Explanation

The physician orders vancomycin 2gm in 500mL of 0.9% N$ to infuse over 4 hours. Calculate the flow rate in milliliters per hour. Round to the nearest whole number.

Correct Answer is ["125"]

Explanation

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