Mrs. Y. comes in to clinic with her son, 17-year-old John. They live in a rural area and use a drilled well as their home water source. The provider prescribed fluoride for John several visits ago
When reviewing John's medication list the nurse notices that he also takes several dietary supplements including calcium and vitamins C and vitamin B12. The nurse informed him that taking calcium and fluoride together at the same time can result in: 1. Decreased fluoride absorption
2. Increased fluoride absorption
3. Increased calcium absorption
4. Decreased calcium absorption
1
Rationale: Co-administration of calcium and fluoride can result in 10–25% decreased absorption of fluoride since they compete for the same binding sites. Inadequate fluoride has been shown to increase the risk for dental caries. Calcium is needed to maintain bone mineral density, and decreased levels could lead to osteoporosis.
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A patient with prerenal acute kidney injury is oliguric. The nurse is administering an IV bolus to the patient. What should be of primary concern to the nurse while performing this task?
A) Restricting the patient's protein intake B) Monitoring the patient's potassium level C) Evaluating the patient for signs of nephrotoxicity D) Preventing fluid overload
Complications common to patients receiving hemodialysis for acute kidney injury include which of the following? (Select all that apply.)
a. Hypotension b. Dysrhythmias c. Muscle cramps d. Hemolysis e. Air embolism
The emergency department nurse notices that the mother of a young child is making a lot of phone calls and getting advice from her friends about what she should do. This behavior is an indication of
a. Stress b. Healthy coping skills c. Attention-getting behaviors d. Low self-esteem
Which statement best explains how a mother of several children should prepare to help them cope with the loss of a dear aunt?
a. Children are resilient and simply need love as they grieve. b. People regardless of age or gender experience stages of grief. c. Each child will grieve in a unique way and on their own timetable. d. Extreme reactions are more commonly observed in the young griever.