A patient with osteoporosis taking calcitonin is experiencing ...

[robinn137]

A patient with osteoporosis taking calcitonin is experiencing nausea and vomiting. What should the nurse do about the patient's complaint?
 
  1. Alternate nares when administering the medication.
  2. Hold the next dose of calcitonin and notify the physician.
  3. Monitor and record the frequency and amount of emesis.
  4. Increase the amount of vitamin D in the diet.

Question 2

The nurse is concerned that a patient with a below-the-knee amputation is at risk for delayed healing. What information from the patient's medical history led the nurse to make this clinical decision?
 
  Select all that apply.
 
  1. body mass index 15
  2. history of hypokalemia
  3. smokes 2 ppd of cigarettes
  4. takes vitamin supplements
  5. treated for right heart failure

[atrochim]

Answer to Question 1

Correct Answer: 3
Calcitonin is associated with nausea and vomiting. These manifestations will subside. The nurse will need to record the event. Changing the route will not affect the adverse effects of this medication. Holding the dose is not indicated and the physician does not require immediate notification. Although vitamin D intake should be increased in the diet when calcitonin is prescribed, it does not address the question.

Answer to Question 2

Correct Answer: 1, 2, 3, 5
Healing after an amputation is delayed if the patient's diet lacks the proper nutrients to meet the body's increased metabolic demands during healing. Electrolyte imbalances can contribute to delayed healing processes. Decreased cardiac output reduces blood flow and delays healing. Vitamin supplements would help with wound healing. Smoking compromises healing by causing vasoconstriction and reduced blood flow to the stump.