Chapter 20, Over-the-Counter Drug Therapy: Minerals

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Question 1 of 6

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Which action is attributed to calcium? Select all that apply. One, some, or all responses may be correct.

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    • Tooth repairCalcium assists in the formation and repair of bones and teeth.
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    • DigestionCalcium activates pancreatic enzymes for digestion.
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    • Blood clottingCalcium aids blood clotting by stimulating the release of thromboplastin and the conversion of fibrinogen to fibrin.
    • Hemoglobin productionIron, not calcium, stimulates the hematopoietic system and increases the production of hemoglobin.
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    • Repair of skeletal tissuesCalcium is involved in the formation and repair of skeletal tissues.

Question 2 of 6

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The use of supplemental calcium is contraindicated in which condition?

    • HypocalcemiaPatients with hypocalcemia are deficient in calcium so calcium would be given.
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    • Kidney stonesPatients who have kidney stones should not be given calcium.
    • PregnancyCalcium requirements are increased during pregnancy, so calcium would not be contraindicated.
    • OsteoporosisIndividuals with osteoporosis need an increase in calcium, so calcium would be given.

Question 3 of 6

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Which adverse reaction is attributed to iron supplements? Select all that apply. One, some, or all responses may be correct.

    • FatigueFatigue is not an adverse reaction associated with iron supplements.
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    • Epigastric painAdverse reactions to iron supplements include epigastric or abdominal pain, as well as diarrhea.
    • Orange-colored urineOrange-coloration of the urine is not an adverse reaction associated with iron supplements.
    • Joint painJoint pain is not an adverse reaction associated with iron supplements.
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    • DiarrheaDiarrhea is an adverse reaction to iron supplements, along with epigastric or abdominal pain.

Question 4 of 6

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Which condition can result from a very slight deficiency in magnesium?

    • Diabetic acidosisDiabetic acidosis is a condition in which potassium is needed; it does not result from a deficiency in magnesium.
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    • Torsades de pointesMagnesium is especially important in cardiac function, and slight deficiencies may prolong the QT interval and lead to a very dangerous form of ventricular tachycardia, called torsades de pointes. This is when the heart’s two lower chambers beat faster than the upper chambers.
    • AnemiaAnemia is a condition in which iron is needed; it does not result from a deficiency in magnesium.
    • OsteoporosisOsteoporosis is a condition in which calcium is needed; it does not result from a deficiency in magnesium.

Question 5 of 6

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Which supplement would the nurse anticipate incorporating into the plan of care for a patient who reports ongoing vomiting and diarrhea?

    • MagnesiumMagnesium supplements would be given to people who abuse alcohol.
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    • PotassiumSupplementation of potassium may be necessary for deficits resulting from vomiting and diarrhea, diabetic acidosis, or metabolic alkalosis.
    • ZincZinc would be given to people who have delayed wound healing.
    • IronIron would be given to treat anemia.

Question 6 of 6

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A patient who had surgery reports redness and itching at the incision site 10 days post-surgery. Which mineral would the nurse anticipate giving to this patient?

    • MagnesiumMagnesium is important in maintaining osmotic pressure, ion balance, bone structure, muscular contraction, and nerve conduction.
    • IronIron is essential for the body to produce myoglobin and hemoglobin.
    • PotassiumPotassium is the principal intracellular position ion of most body tissues, acting the maintenance of normal kidney function, contraction of muscle, and transmission of nerve impulses.
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    • ZincZinc is a part of many enzymes and is essential for normal growth and tissue repair and would be used to promote wound healing.