The nurse is caring for a patient diagnosed with ...

[jho37]

The nurse is caring for a patient diagnosed with hyperparathyroidism who asks the nurse why parathyroid hormone (PTH) is important. The nurse explains that PTH performs what actions in the body? (Select all that apply.)
 
  A) Stimulation of osteoclasts
  B) Increased intestinal absorption of calcium
  C) Stimulation of calcitriol production
  D) Increased excretion of calcium from kidneys
  E) Decreased retention of vitamin D

Question 2

The nurse is assigned to perform telephone triage for the clinic and receives a call from a young mother whose 6-month-old baby received her third diphtheriapertussis tetanus immunization that morning.
 
  The mother reports the baby's temperature is 99.8 axillary, the site of injection is a little red, and the baby is irritable. After checking the standing orders provided by the pediatrician, what teaching would the nurse provide this mother? (Select all that apply.) A) These are common adverse effects reported after immunizations.
  B) Bring the baby back to the clinic for an examination.
  C) Apply a warm moist compress to the baby's leg.
  D) Aspirin can be given to manage fever symptoms.
  E) Symptoms should subside within 2 to 3 days.

[nothere]

Answer to Question 1

A, B, C
Feedback:
PTH has many actions, including stimulation of osteoclasts or bone cells to release calcium from the bone, increased intestinal absorption of calcium, increased calcium reabsorption from the kidneys, and stimulation of cells in the kidney to produce calcitriol. PTH increases absorption of calcium from the kidney and increases retention of vitamin D.

Answer to Question 2

A, C, E
Feedback:
The symptoms reported by this mother are all common adverse effects following immunization that will subside within 2 to 3 days. In the meantime, the mother can make the baby more comfortable by administering a weight appropriate dosage of acetaminophen, applying warm compresses to the injection site, and providing a quiet environment. If the symptoms do not subside within 2 to 3 days, the baby should be seen for follow-up care. Aspirin should not be given due to risk of Reye's syndrome.

[jho37]

TY

[nothere]

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