A client asks the nurse to explain why a prescription for ...

[c0205847]

A client asks the nurse to explain why a prescription for calcitriol (Calcijex) has been given when vitamin D is available without a prescription. What is the best response by the nurse?
 
  1. There is no difference between the two.
  2. This will allow you to buy vitamin D and pay your co-payment.
  3. You don't need to fill the prescription. You can buy the over-the-counter vitamin D.
  4. Calcitriol (Calcijex) is the active form of vitamin D, and the over-the-counter calcium is not the same.

Question 2

A client has been prescribed aPO vitamin D supplement. Which supplement does the nurse anticipate will be administered?(Select all that apply.)
 
  1. Calcitriol (Calcijex)
  2. Calcium gluconate (Kalcinate)
  3. Doxercalciferol (Hectorol)
  4. Ergocalciferol (Deltalin)
  5. Alendronate(Fosamax)

[raenoj]

Answer to Question 1

4

Rationale 1: Calcitriol (Calcijex) is the active form of vitamin D, and the over-the-counter calcium is not the same.
Rationale 2: Calcitriol (Calcijex) is the active form of vitamin D, and the over-the-counter calcium is not the same.
Rationale 3: Calcitriol (Calcijex) is the active form of vitamin D, and the over-the-counter calcium is not the same.
Rationale 4: Calcitriol (Calcijex) is the active form of vitamin D, and the over-the-counter calcium is not the same.

Global Rationale: Calcitriol (Calcijex) is the active form of vitamin D, and the over-the-counter calcium is not the same.

Answer to Question 2

1, 3, 4

Rationale 1: Calcitriol (Calcijex) is given PO.
Rationale 2: Calcium gluconate (Kalcinate) is not a vitamin D supplement.
Rationale 3:Doxercalciferol (Hectorol)is given PO.
Rationale 4: Ergocalciferol (Deltalin) is given PO or IM.
Rationale 5: Alendronate (Fosamax) is a bisphosphonate and not a vitamin D supplement.

Global Rationale: Calcitriol (Calcijex),Doxercalciferol (Hectorol),andErgocalciferol (Deltalin) are given PO as a vitamin D supplement. Calcium gluconate (Kalcinate) is not a vitamin D supplement. Alendronate (Fosamax) is a bisphosphonate and not a vitamin D supplement.

[c0205847]

Great answer, keep it coming

[diana chang]

Thanks for the timely response, appreciate it