The healthcare provider suggests that a 65-year-old female ...

[Jkov05]

The healthcare provider suggests that a 65-year-old female patient take 1200 mg of calcium supplements every day. Before the patient leaves the clinic, what suggestions should the nurse make when instructing the patient about this supplement?
 
  Select all that apply.
 
  1. Take 600 mg of calcium with lunch.
  2. Take 600 mg of calcium with breakfast.
  3. Take 400 mg of calcium with breakfast, lunch, and dinner.
  4. Take 600 mg of calcium with breakfast and 600 mg at bedtime.
  5. Take the full dose of 1200 mg of calcium in the morning on an empty stomach.

Question 2

The nurse is reviewing the x-ray report for a patient experiencing spinal and major joint discomfort. Which findings suggest to the nurse that the patient will be treated for Paget disease?
 
  Select all that apply.
 
  1. linear fractures
  2. radiolucent bands
  3. increased bone thickness
  4. mosaic pattern of bone matrix
  5. punched out appearance of bone

[mirabriestensky]

Answer to Question 1

Correct Answer: 1, 2, 3
The nurse should recommend that the prescribed dose of calcium be limited to no more than
600 mg of calcium at a time since as the amount absorbed declines at higher doses. This means that the maximum dose for any meal should be calcium 600 mg. This would be appropriate for breakfast and lunch. Recommending calcium 400 mg with breakfast, lunch, and dinner would also be appropriate. Calcium should be taken with food, so recommending a dose in the morning on an empty stomach or at bedtime is not appropriate.

Answer to Question 2

Correct Answer: 1, 3, 4, 5
Radiologic changes with Paget disease include punched-out appearance of bone, increase in bone thickness, linear fractures, and mosaic pattern of bone matrix. Radiolucent bands known as Looser's zones are radiologic changes associated with osteomalacia.

[Jkov05]

Excellent

[Alyson.hiatt@yahoo.com]

Gracias!