Deck 43: Drugs for Nutritional Disorders

Question 1

Which client is at greatest risk for developing vitamin deficiencies?

A) A client newly prescribed phenytoin (Dilantin) for the treatment of epilepsy
B) A client prescribed oral contraceptives for birth control
C) A client who eats a well-balanced diet and does not take a vitamin supplement
D) A pregnant client that is receiving prenatal vitamins

Answer 1

A client prescribed oral contraceptives for birth control

Question 2

The nurse notes a client is prescribed Orlistat (Alli). Which condition should the nurse recognize the prescription is treating?

A) Obesity
B) Malnutrition
C) Malabsorption syndrome
D) Overnutrition

Answer 2

Obesity

Question 3

Which condition is associated with a cyanocobalamin (B12) deficiency?

A) Pellagra
B) Pernicious anemia
C) Rickets
D) Scurvy

Answer 3

Pernicious anemia

Question 4

Which vitamin should the nurse encourage a female to take prior to becoming pregnant to help prevent neural tube defects?

A) Thiamine
B) Niacin
C) Riboflavin
D) Folic acid

Question 5

Which information should the nurse provide a parent of a newborn prescribed a vitamin K injection?

A) "Vitamin K is administered if there is observed bleeding."
B) "Vitamin K is only administered to infants that are bottle fed."
C) "Newborns do not have enough intestinal bacteria to synthesize vitamin K."
D) "Newborns are unable to store vitamin K in their body."

Question 6

Which describes the body's need for vitamins?

A) They are needed in large amounts to support metabolic processes.
B) They are needed in large amounts to promote health.
C) They are needed in small amounts to promote growth.
D) They are needed in small amounts to detoxify chemicals.

Question 7

Which deficiencies should the nurse understand occur after bariatric surgery? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) B-complex vitamins
B) Copper
C) Iron
D) Fat-soluble vitamins
E) Potassium

Question 8

Which describes a function of Vitamin C?

A) Maintains vision
B) Regulates digestion
C) Promotes development of bones and teeth
D) Promotes the manufacturing of platelets

Question 9

Which should the nurse include in the plan of care when administering total parenteral nutrition?

A) Check the feeding tube for residual prior to initiating feedings.
B) Remove the solution from the refrigerator 30 minutes prior to hanging.
C) Withhold oral medications while the total parenteral nutrition (TPN) is hanging.
D) Maintain a dedicated percutaneous endoscopic gastrostomy (PEG) tube for the solution.

Question 10

Which foods high in vitamin A should the nurse recommend to a client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Eggs
B) Butter
C) Whole milk
D) Dark leafy vegetables
E) Lean red meat

Question 11

A client asks the nurse why they are prescribed a multivitamin. Which information should the nurse include in the discussion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Small amounts of vitamins are needed for health.
B) Vitamins will heal many illnesses.
C) Vitamins are inorganic compounds that are not always stored in the body.
D) Your body cannot synthesize most vitamins.
E) Vitamins are needed for growth and maintenance of normal metabolic processes.

Question 12

Which vitamin can be toxic if consumed in large amounts?

A) Niacin
B) Vitamin C
C) Vitamin A
D) Folic acid

Question 13

Which is the priority nursing assessment for the client with preeclampsia receiving magnesium sulfate experiencing muscle weakness?

A) Oxygen saturation
B) Deep tendon reflexes
C) Peripheral edema
D) Breath sounds

Question 14

Which substance assists with the efficient absorption of calcium?

A) Intrinsic factor
B) Coenzymes
C) Phosphorus
D) Vitamin D

Question 15

Which information should the nurse include in the dietary discussion with a client that consumes a vegetarian diet?
1) "You are not at risk for vitamin deficiencies."
2) "Seek out dietary sources which include vitamin B1
2)"
3) "Increase fluids and fiber to promote the absorption of vitamins."
4) "You may be at risk for a vitamin C deficiency."

Question 16

Which should the nurse monitor to prevent complications of a client receiving total parenteral nutrition (TPN)?

A) Potassium levels
B) Blood glucose levels
C) Liver enzymes
D) Thyroid function

Question 17

Which laboratory tests should the nurse evaluate for the client receiving topical vitamin A? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Serum calcium level
B) Hemoglobin level
C) Blood urea nitrogen
D) Serum potassium level
E) Serum cholesterol

Question 18

Which describes an important function of vitamin A?

A) Promotes visual pigment of the eye
B) Antioxidant properties
C) Promotes blood clotting
D) Facilitates bile excretion

Question 19

Which clinical conditions would the nurse most likely associate with a client who has a documented history of alcoholism? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Carbohydrate deficiency
B) Thiamine deficiency
C) Scurvy
D) Vitamin A deficiency
E) Pellagra

Question 20

A client asks the nurse how much vitamin C should be taken to prevent a cold. Which information should the nurse discuss with the client?

A) "Increase your dietary intake of Vitamin C as well as add an oral supplement."
B) "There is no proof that vitamin C prevents the common cold."
C) "Vitamin C is effective if you take the recommended daily allowance."
D) "Vitamin C must be taken prior to the onset of the cold to be most effective."

Question 21

The nurse is preparing to assess a client receiving enteral feedings. Which finding should the nurse be concerned about?

A) Dry lips
B) Weight gain of 3 lbs in a week
C) Respiratory rate of 20
D) No change in weight

Question 22

Which is a priority nursing assessment for the client who is receiving a parenteral feeding?

A) Fluid overload
B) Overnutrition
C) Electrolyte imbalance
D) Weight loss

Question 23

Which information should the nurse provide a client who will receive enteral nutrition?

A) "Nutrition can be administered continuously."
B) "Your nutrition will be administered through your veins."
C) "Enteral feedings allow natural digestion to occur."
D) "Most enteral feeding consists of thinned pureed food."

Question 24

Which information should the nurse include in the teaching for a client that will be receiving intermittent enteral nutrition at home? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Clean the equipment between each feeding administration."
B) "Once mixed, the enteral feeding should hang no more than 8 hours."
C) "Refrigerate any feeding that is not needed for a feeding."
D) "You may use plain tap water for scheduled tubing flushes."
E) "Keep the area around the insertion site clean."

Question 25

Which priority intervention should the nurse implement for a client that is experiencing magnesium toxicity?

A) Monitor the client's breathing
B) Assess the client's reflexes
C) Administer IV calcium gluconate
D) Administer an IV bolus of NS

Question 26

Which current prescription should the nurse be concerned about for a client newly prescribed orlistat (alli)?

A) Aspirin
B) Warfarin
C) Vitamin C
D) Ibuprofen

Question 27

Which action should the nurse take with the prescribed dose of orlistat (Alli) for the client that has ordered dry toast for breakfast?

A) Reduce the dose by half
B) Hold the pre-breakfast dose
C) Double the pre-breakfast dose
D) Give the normal dose

Question 28

How is the body mass index calculated to diagnose obesity? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Age
B) Gender
C) Weight
D) Height
E) Skinfold thickness

Question 29

Which vitamins are lipid soluble? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) A
B) B
C) C
D) D
E) E

Question 30

Which enteral formula should the nurse anticipate for a client with a functioning GI tract experiencing undernourishment?

A) Modular
B) Polymeric
C) Semi-elemental
D) Elemental