Author Question: A patient with severe glucocorticoid-induced osteoporosis will start therapy with teriparatide ... (Read 43 times)

Alainaaa8 · **on:** Jul 23, 2018

A patient with severe glucocorticoid-induced osteoporosis will start therapy with teriparatide (Forteo). What will the nurse expect to administer?

a. 20 mcg once daily subQ
b. 20 mcg twice daily subQ
c. 10 mcg once daily subQ
d. 10 mcg twice daily subQ

Question 2

A patient reports experiencing weakness, fatigue, nausea, vomiting, constipation, and nocturia. A dipstick urinalysis shows a positive result for protein. When questioned, the patient reports taking vitamin D and calcium supplements.

The nurse will counsel the patient to:
a. reduce the amount of vitamin D and stop taking the calcium.
b. discuss taking calcitonin-salmon (Fortical) with the provider.
c. stop both supplements and discuss the use of a diuretic with the provider.
d. stop taking vitamin D, reduce the amount of calcium, and increase the fluid intake.

jaygar71 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
The dose of teriparatide for all indications is 20 mcg once daily subQ.

Answer to Question 2

ANS: D
Vitamin D toxicity can occur, and early responses include the symptoms described. Patients should be counseled to stop taking vitamin D, reduce their calcium intake, and increase their fluid intake. It is not correct to reduce the vitamin D intake and the calcium intake. Calcitonin-salmon is not indicated. A diuretic is indicated when hypercalciuria is severe.