A nurse is teaching a client who is taking intranasal calcitonin to alternate nares daily when administering the medication. Which of the following adverse effects should the nurse expect to improve following the teaching?
Rhinitis
Esophagitis
Warmth of the face
Dyspnea on exertion
The Correct Answer is A
A. Rhinitis (inflammation of the nasal passages) is a common side effect of intranasal calcitonin, and alternating nares can reduce this adverse effect.
B. Esophagitis is a potential side effect with oral calcitonin but not typically with the intranasal form.
C. Warmth of the face is not a common side effect related to calcitonin use.
D. Dyspnea on exertion is not a common side effect of intranasal calcitonin.
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Related Questions
Correct Answer is C
Explanation
Correct answers: C
Rationale:
A. 1300 represents an elapsed time of only 6 hours from the start of the infusion at 0700. At a flow rate of 100 mL/hr, only 600 mL would have been administered. This leaves 400 mL remaining in the primary bag.
B. 1100 indicates that only 4 hours have passed since the initiation of the intravenous therapy. At the prescribed rate, the volume infused would be 400 mL. The bag would still contain 600 mL, necessitating no replacement at this early hour.
C. 1700 is the correct time because 10 hours must elapse to infuse 1,000 mL at 100 mL/hr. Starting at 0700 and adding 10 hours reaches 1700. This calculation ensures the maintenance of continuous fluid resuscitation without interrupting the flow.
D. 2200 occurs 15 hours after the initial hang time of the lactated Ringer's solution. By this time, 1,500 mL would have been required, exceeding the bag capacity. The 1,000 mL reservoir would have been completely depleted 5 hours prior.
Correct Answer is B
Explanation
A. Weight loss is a symptom of hyperthyroidism and would not indicate the need for a lower dose of methimazole.
B. Bradycardia could be a sign of hypothyroidism, which would indicate the need for a lower dose of methimazole.
C. Diaphoresis is a symptom of hyperthyroidism and does not indicate the need for a dose reduction.
D. Exophthalmos (bulging eyes) is a common symptom of Graves' disease but does not directly suggest the need for a dose reduction of methimazole.
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