A client with severe hypercalcemia of malignancy has receive… | MyMerci
Adverse Effects/Contraindications/Interactions PPT
Question

A client with severe hypercalcemia of malignancy has received calcitonin for 4 days, but the calcium response has plateaued. Which order should the nurse clarify?

Explanation
Calcitonin has a rapid effect but should be limited to a short course because tachyphylaxis develops. Sustained control requires appropriate antiresorptive therapy rather than indefinite calcitonin monotherapy.
Next question on this topicA nurse is reviewing the morning lab results for an adult client receiving warfarin for at…

In-depth explanation

Quick answer
Question prolonged calcitonin monotherapy after the response plateaus.

Why this is correct
The client still needs symptom, calcium, renal, and volume reassessment while longer-acting therapy addresses ongoing malignancy-driven calcium release.

Easy analogy or mental picture
Treat every infusion as a controlled clinical system: verify the product and access, recognize a changing cue, stop preventable exposure, stabilize the client, and confirm the response.

Memory hook
Product, access, compatibility, infusion cue, protective action, and reassessment.

NCLEX decision rule
Choose the action that prevents the most immediate infusion-related harm while preserving vascular access and the ordered diagnostic evidence.

Why the other choices are wrong
Options that restart a suspect product, bypass a safety device, force an occluded tube, or delay reassessment can convert a reversible warning into serious harm.
References
1Endocrine Society Clinical Practice Guideline: Hypercalcemia of Malignancy in AdultsInitial hydration, antiresorptive therapy, calcitonin for severe disease, renal and volume assessment, and outcome monitoring

Clinical scenario

Blood product, nutrition, and intravenous-fluid safety review
Verify the product, prescription, route, access device, filter or tubing, compatibility, baseline findings, emerging adverse cues, response plan, and measurable follow-up.
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For study reference only. Always follow current clinical guidelines and your institution’s protocols.