A patient is taking alendronate [Fosamax] to treat Paget's disease. The patient asks the nurse why calcium supplements are necessary. The nurse will tell the patient that calcium supplements are necessary to:

a. reduce the likelihood of atrial fibrillation.
b. maximize bone resorption of calcium.
c. minimize the risk of esophageal cancer.
d. prevent hyperparathyroidism.


D
Alendronate can induce hyperparathyroidism in patients with Paget's disease; calcium supple-mentation can prevent this effect. Giving calcium does not reduce the incidence of atrial fibrilla-tion, maximize bone resorption of calcium, or minimize the risk of esophageal cancer.

Nursing

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A family member of a patient who has returned to the special unit after renal transplantation is alarmed by blood in the urine of the patient. What is the nurse's best explanation when explain-ing the reason for hematuria in this patient?

a. "It is related to the immunosuppressant drugs taken before transplantation." b. "It is a normal postoperative expectation." c. "It is caused by dye injected during sur-gery." d. "It is caused by a small vessel that may be bleeding but will coagulate as urine flow increases."

Nursing

A client is admitted with third-degree burns of the upper arms and chest. When assessing the client, the nurse will expect the skin to be:

A) reddened and covered with blisters. B) white with patches of blackened skin. C) bluish-purple with blisters. D) diffusely bright red and swollen.

Nursing

Cellulose is an example of a(n)

a. soluble fiber. b. insoluble fiber. c. soluble protein. d. insoluble protein.

Nursing

When administering first aid, your first consideration is

A) maintaining the airway. B) adequacy of circulation. C) signs and symptoms of shock. D) the degree of trauma to the patient.

Nursing