Question

a. Insulin b. Estrogen C. Parathyroid hormone (PTH) d. Calcitonin 54. A client has a decreased calcium level. Which vitamin will participate in raising the client's calcium level? a. Vitamin D b. Vitamin C C. Ferrous sulfate d. Vitamin B12 55. An older adult resident of a long-term care facility has been prescribed calciumcitrate to address decreasing bonc density. The nurse should review the resident's medication administration record knowing that what medication may decrease the effects of calcium a. Hydrochlorothiazide b. Ibuprofen C. Prednisone d. Diltiazem 56. An older adult client has been diagnosed with osteoporosis and has been taking alendronate. The nurse should be aware that this drug can increase bone density by which mean? a. Decreasing renal excretion of calcium b. Increasing the binding of vitamin D to calcium ions C. Suppressing the function of osteoclasts d. Enhancing the function of osteoblasts 57. Epinephrine performs what function when administered with lidocaise to af anesthesia? a. Promoting vasodilation b. Prolonging the effects of lidocaine C. Preventing adverse effects of lidocain d. Blocking the afferent nerve pathways care provide plan, but this is 58. A client has been treated for migraines on ongoing basis, and the care provider has just prescribed sumatriptan Whal statement made by the nurse reflects the priority education intervention for a client prescribed sumatriptan? a. "You might get dirry light-headed after you take sumatriptan, but this is normal. b. "It's important that you never take acetaminophen within 12 hours of sumatriptan C. Make sure that you stop taking ergotamine before you get the prescription filled." d. "You will likely experience a brief worsening of your migraine before this drug relieves the pain 59. The nurse is educating a young adult client diagnosed with migraine headaches about prescribed intranasal sumatriptan for abortive therapy. Which statement made by the client establishes the need for further clarification

Answer 1

54. Answer is A Vitamin D is essential for intestinal absorption of Calcium, to maintain healthy bones

55. Answer is C Predinsone is a corticosteroids

Calcium citrate is used to treat conditions caused by low calcium levels  osteoprosis , osteomalacia/rickets), decreased activity of the parathyroid gland (hypoparathyroidism),

Pharmacologic doses of corticosteroids impair intestinal calcium absorption and contribute to negative calcium balance.

56. Answer is C - Suppressing the function of osteoclasts

The mechanism action of alendronate is to prevent inhibition of osteoclast formation.

57. Answer is B - Prolonging the effects of lidocaine

The anesthetic effect of Lidocaine fades of rapidly if used alone but when combined with epinephrine, this anesthetic effect is lasts long. Epinephrine is a vasoconstrictor and not a vasodilator.

58. Answer is C - Make sure that you stop taking ergotamine

Sumatriptan and Ergotamine are vasoconstrictors causing construction of certain cranial vessels. These drugs if combined may lead to overdose and may have additive effects and cause excessive narrowing of blood vessels in the body. Some of the serious side effects as high blood pressure, heart attack, stroke, and gangrene.