The nurse is caring for a client with Paget's disease who has an ...

[student77]

The nurse is caring for a client with Paget's disease who has an elevated serum calcium level of 12.3 mEq/L.
 
  The nurse checks to see that which of the following medications is available in the stock medication supply for possible use to reverse this elevation? 1. Vitamin D
  2. Calcium chloride
  3. Calcium gluconate
  4. Calcitonin

Question 2

The mother of a newborn male infant with hypospadias asks the nurse why circumcision cannot be performed. The most appropriate response by the nurse is which of the following?
 
  1. Circumcision will cause an infection.
  2. Circumcision is not performed in a newborn.
  3. Circumcision will cause difficulty with urination.
  4. Circumcision has been delayed to save tissue for surgical repair.

[iceage]

Answer to Question 1

4

Rationale: The normal serum calcium level is 4.5 to 5.5 mEq/L or 9 to 11 mg/dL. Calcitonin, a thyroid hormone, decreases the plasma calcium level by increasing the incorporation of calcium into the bones, thus keeping it out of the serum. In hypercalcemia, large doses of vitamin D should be avoided. Calcium gluconate and calcium chloride would be used to treat tetany that results from acute hypocalcemia.

Answer to Question 2

4

Rationale: The infant should not be circumcised because the dorsal foreskin tissue will be used for surgical repair of the hypospadias. This defect will most likely be corrected during the first year of life to limit the psychological effects on the child. Circumcision will cause an infec-tion. Circumcision is not performed in a newborn. and Circumcision will cause difficulty with urination. are inaccurate statements.

[student77]

Excellent

[Alyson.hiatt@yahoo.com]

TYSM