HESI Clinical Analysis Practice Exam With Answers (248 Solved Questions)

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1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serumcalcium level is 13 mg/dL. Which medication should the nurse prepare to administer asprescribed to the client?1. Calcium chloride2. Calcium gluconate3. Calcitonin (Miacalcin)4. Large doses of vitamin D3. Calcitonin (Miacalcin)Rationale:The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia.Calcium gluconate and calcium chloride are medications used for the treatment of tetany, whichoccurs as a result of acute hypocalcemia. In hypercalcemia, large doses of vitamin D need to beavoided. Calcitonin, a thyroid hormone, decreases the plasma calcium level by inhibiting boneresorption and lowering the serum calcium concentration.10.) The clinic nurse is performing an admission assessment on a client. The nurse notes that theclient is taking azelaic acid (Azelex). Because of the medication prescription, the nurse wouldsuspect that the client is being treated for:1. Acne2. Eczema3. Hair loss4. Herpes simplex1. AcneRationale:Azelaic acid is a topical medication used to treat mild to moderate acne. The acid appears towork by suppressing the growth of Propionibacterium acnes and decreasing the proliferation ofkeratinocytes. Options 2, 3, and 4 are incorrect.100.) Saquinavir (Invirase) is prescribed for the client who is human immunodeficiency virusseropositive. The nurse reinforces medication instructions and tells the client to:1. Avoid sun exposure.2. Eat low-calorie foods.3. Eat foods that are low in fat.4. Take the medication on an empty stomach.1. Avoid sun exposure.

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HESI Clinical Analysis Practice Exam With Answers (248 Solved Questions)

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