The nurse is managing the care for a client with hyperparathyroidism, and is reviewing the client's list of prescribed and over-the-counter medications. Which medication(s) on the client's current medication record should the nurse discuss further with the healthcare provider? Select all that apply.
Lithium carbonate.
Hydrochlorothiazide.
Sodium phosphate supplement.
Calcium carbonate.
Acetaminophen.
Correct Answer : A,B,D
A. Lithium can increase parathyroid hormone (PTH) levels, worsening hyperparathyroidism.
B. Hydrochlorothiazide can raise calcium levels, further exacerbating hypercalcemia in hyperparathyroidism.
C. Sodium phosphate supplements can lower calcium levels, which may actually help, so it does not require immediate discussion.
D. Calcium carbonate can contribute to hypercalcemia and should be used cautiously.
E. Acetaminophen is safe and does not affect calcium levels.
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Related Questions
Correct Answer is B
Explanation
A. Exenatide does not act exactly the same as insulin. It is a glucagon-like peptide-1 (GLP-1) receptor agonist, not insulin.
B. Notify your healthcare provider if you start having abdominal pain is important because abdominal pain is a known side effect of exenatide and may indicate a more serious issue like pancreatitis, which needs to be addressed promptly.
C. There are precautions when taking exenatide with other medications, especially those that affect gastrointestinal motility or glucose levels, so this statement is incorrect.
D. Exenatide should be injected within 60 minutes before a meal, not 30 minutes before or after, to optimize its effectiveness.
Correct Answer is A
Explanation
A. Establish a structured routine for the client to follow. Establishing a consistent routine is essential to help clients with depression manage their symptoms and create a sense of structure and control. It can also help them feel more motivated to engage in activities.
B. Arrange a meeting with the family to discuss the client's situation. While family involvement is important, it is not the first priority. Immediate care interventions are needed to address the client’s current needs.
C. Assess the client's ability to communicate with the other staff members. While communication is important, the priority is to address the client’s physical and emotional needs by establishing a routine.
D. Administer the client's antidepressant medication as prescribed. Medication management is crucial, but the first step is to engage the client in a structured routine to help them begin functioning.
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