Deck 15: Vitamin and Mineral Replacement

Question 1

In the past few years, the use of zinc has greatly increased. A client is considering taking a zinc preparation. Based on current knowledge, which statement made by the client indicates a need for more teaching?

A) "Large doses of zinc may decrease the 'good' cholesterol."
B) "Zinc may be taken with all drugs, including antibiotics."
C) "Zinc is thought by some to alleviate the common cold."
D) "Large doses of zinc may cause copper deficiency."

Answer 1

"Zinc may be taken with all drugs, including antibiotics."

Question 2

The client asks the nurse why she should be taking folic acid while she is pregnant. The best response from the nurse is that folic acid deficiency in the first trimester of pregnancy:

A) can affect the brain development.
B) may cause spinal cord dysfunctions.
C) may cause cardiac anomalies.
D) can cause gastrointestinal abnormalities.

Answer 2

may cause spinal cord dysfunctions.

Question 3

A client reports taking megadoses of vitamin D. The nurse instructs the client to be aware of which symptom of vitamin D toxicity?

A) Bradycardia
B) Blurred vision
C) Nausea and vomiting
D) Palpitations

Answer 3

Nausea and vomiting

Question 4

The client is experiencing iron deficiency anemia and tells the nurse that he has been taking St. John's wort because it helps stabilize his depression. What is the best response from the nurse?

A) "Don't take St. John's wort; it interferes with absorption of your iron tablets."
B) "That's a good idea; St. John's wort will help absorb the iron tablets."
C) "Don't take St. John's wort; it can cause the iron to reach a toxic level."
D) "That's a good idea; St. John's wort will prevent the iron from reaching toxicity."

Question 5

A client is ordered to take iron to treat iron deficiency anemia. Which signs and symptoms would the nurse use to evaluate that this treatment was effective?

A) Light brown stools
B) Pallor in the skin
C) Decrease in shortness of breath
D) Persistent fatigue

Question 6

The nurse is caring for a client with sickle cell disease who tells the nurse that she is considering taking large doses of vitamin C because she has read about its ability to enhance wound healing. What is the best response from the nurse?

A) "That should be a very effective way to self-manage your disease process."
B) "That is contraindicated because of the type of pain medication that you require."
C) "That should encourage wound healing as well as enhance pain management."
D) "That is contraindicated because it can lead to sickle cell crisis."

Question 7

A client is taking doses of vitamin C. She tells the nurse that she has heard that vitamin C prevents and cures colds and that she is wondering if this is true. What is the nurse's response?

A) "Vitamin C is most helpful in preventing colds, but large doses are required."
B) "Vitamin C is a fat-soluble vitamin and should not be taken in large doses."
C) "I have also heard that vitamin C will help prevent colds, but it hasn't been proven."
D) "Vitamin C supplements should be taken only by children and older persons."

Question 8

A client is diagnosed with type 2 diabetes mellitus. The nurse counsels the client that which mineral is helpful for controlling non-insulin-dependent diabetes mellitus?

A) Chromium
B) Zinc
C) Iron
D) Selenium

Question 9

In teaching a client about zinc, the nurse instructs that foods rich in zinc include:

A) meat and eggs.
B) fruits.
C) cheese.
D) milk.

Question 10

The nurse is teaching the client to increase her intake of foods rich in vitamin B. The client states that she enjoys baked goods frequently. The highest priority action on the part of the nurse is to instruct the client to:

A) consume whole-grain cereal and bread.
B) add more meat to her diet.
C) eat more protein in the form of eggs and cheese.
D) consume more fresh fruit.

Question 11

A nurse is counseling a client taking iron. Which statement is true regarding increasing iron's absorption in the body?

A) "Take the iron with orange juice."
B) "Take the iron during a meal."
C) "Take the iron one half hour after an antacid."
D) "Swallow the iron pill with a full glass of milk."

Question 12

The client has been ordered to take iron supplements and is also being treated with antacids. The highest priority action on the part of the nurse is to instruct the client to take the iron supplement:

A) 30 minutes before taking his antacid.
B) within 1 hour of taking the antacid.
C) 1 hour after taking the antacid.
D) 1 hour before the antacid along with milk.

Question 13

Which mineral is an antioxidant and is thought to reduce the risk of cancer?

A) Iron
B) Chromium
C) Selenium
D) Mercury

Question 14

A client is asking a nurse about the need for vitamin therapy. The nurse directs the client that vitamin therapy is most likely to be indicated for those clients who

A) do not suffer from debilitating illness.
B) have an adequate dietary intake.
C) are on a restricted diet.
D) are experiencing a slow growth period.

Question 15

The nurse instructs a client taking iron for treatment of iron deficiency anemia to avoid which herbal preparation?

A) Garlic
B) Ginger
C) Milk thistle
D) Peppermint

Question 16

The client tells that nurse that he is taking large amounts of a variety of vitamins. The highest priority action on the part of the nurse is to caution the client that vitamins _______ can be toxic if taken in excess over time.

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

Question 17

A client who is being treated with iron supplements is not exhibiting the increased amount in his blood that was anticipated. The nurse suspects that his diet or lifestyle may be inhibiting absorption of the iron. The nurse recognizes that the client's absorption of iron intake may be hampered by consumption of:

A) oral ascorbic acid and citrus fruits.
B) antacids taken with meals.
C) other multivitamins, ingested concurrently.
D) a full meal 2 hours after iron intake.

Question 18

A client is taking in a larger quantity of a vitamin than is needed by the body. Which vitamin can the nurse expect to see in laboratory results as having been excreted in the client's urine?

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

Question 19

Iron toxicity is a serious cause of poisoning in children. Client teaching includes which instruction?

A) "Recognize that iron tablets resemble candy."
B) "Keep liquid-type iron preparations in refrigerator."
C) "Give milk if numerous iron tablets have been ingested."
D) "It will take 48 hours for the toxic effects of iron overdose to emerge."

Question 20

The client is scheduled to be treated with iron supplements in the form of an elixir. The highest priority instruction that the nurse can provide to the client is that a side effect of this form of the medication can be:

A) persistent headache.
B) staining of the teeth.
C) neck pain.
D) gum deterioration.