Deck 67: Vitamins and Minerals

Question 1

The client has been taking large doses of multivitamins for several months.When assessing for excess effects of pyridoxine,the nurse would question the client about the presence of which of the following?

A) Blue-green or yellow vision
B) Cool,pale skin
C) Elevated temperature and chills
D) Numbness of the hands and feet

Answer 1

Numbness of the hands and feet

Question 2

What nursing diagnosis would be appropriate for a client who requires vitamin and mineral replacement?

A) Impaired comfort
B) Impaired tissue perfusion
C) Excess fluid volume
D) Imbalanced nutrition,less than body requirements

Answer 2

Imbalanced nutrition,less than body requirements

Question 3

A client who has been taking several vitamin supplements over a period of time exhibits an orange coloration of the skin and eyes.The nurse concludes that this client has an excess of which of the following vitamins?

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

Answer 3

A

Question 4

Before administering an ordered dose of iron to a client,the nurse assesses the client's knowledge about dietary sources of iron.The nurse determines that the client understands dietary considerations when the client states that which of the following foods is high in iron content?

A) Strawberries
B) Chicken
C) Green leafy vegetables
D) Cauliflower

Question 5

The nurse determines that thiamine replacement therapy was successful after noting normal assessment data for which of the following client systems?

A) Respiratory and neurologic
B) Cardiovascular and neurologic
C) Respiratory and renal
D) Gastrointestinal and urinary

Question 6

The nurse encourages a client taking vitamin supplements who needs additional vitamin D to increase intake of which of the following foods?

A) Chicken
B) Fish
C) Turkey
D) Veal

Question 7

The nurse doing basic health teaching about nutrition would include the fact that water-soluble vitamins are

A) stored in the liver and fatty tissue.
B) likely to be deficient only after a prolonged period of inadequate intake.
C) stored in the body in large amounts.
D) important components of enzyme systems.

Question 8

The nurse anticipates that a client with hyperlipidemia may be advised by the health care provider to increase intake of which of the following vitamins?

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

Question 9

A client is taking high doses of niacin as prescribed by the health care provider.The nurse explains that which of the following adverse effects reported by the client is expected and is not harmful?

A) Flushing of the skin
B) Flatulence
C) Headaches
D) Dry,cracking skin

Question 10

The nurse explains to a client that vitamin D (Calcitriol)is absorbed from

A) the peripheral circulation.
B) the large intestine.
C) the small intestine.
D) the stomach.

Question 11

The nurse administering calcifediol (Calderol)and calcitriol (Rocaltrol)to assigned clients would assess these clients for which of the following associated adverse effects?

A) Increased appetite
B) Hypotension
C) Flank pain
D) Orange sputum

Question 12

A nurse assesses an older adult client and finds several areas of ecchymoses.After learning that the client has not experienced falls or other injury,the nurse considers that the client may need replacement of which of the following vitamins?

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

Question 13

The nurse may safely administer iron dextran injections by which of the following techniques?

A) Subcutaneous injection with a half-inch,25-gauge needle
B) Intramuscular injection with a Z-track method of administration
C) Intradermal injection with a sunburst technique of administration
D) Intramuscular injection with a half-inch,28-gauge needle

Question 14

The nurse has an order to administer an intravenous dose of thiamine to a client.The nurse carefully assesses for which of the following rare reactions during injection?

A) Tachycardia
B) Decline in respiratory rate
C) Hypersensitivity reaction
D) Muscle twitching and chills

Question 15

The nurse concludes that which of the following are late signs of iron toxicity in a client taking supplemental iron?

A) Hypothermia
B) Erythema
C) Diarrhea
D) Seizures

Question 16

An assigned client is to receive vitamin E therapy for treatment of neuropathies resulting from biliary disease.The nurse would stress that the client should contact the physician if which of the following signs of toxicity occurs?

A) Dysphagia
B) Hypertension
C) Irritability
D) Blurred vision

Question 17

A client who is receiving pyridoxine for the treatment of a vitamin B₆ deficiency is also taking levodopa for Parkinson's disease.The nurse is aware that pyridoxine has which of the following effects on the levodopa and the Parkinson's disease?

A) It decreases the metabolism of levodopa
B) It increases the symptoms of Parkinson's disease
C) It maximizes the effects of levodopa
D) It enhances the effects of dopamine

Question 18

The nurse concludes that a client has not had successful replacement therapy with riboflavin after noting which of the following client manifestations?

A) Sensitivity to cold
B) Dry,red,flat rash on skin
C) Cracking of lips and corners of mouth
D) Excessive tearing of the eyes

Question 19

The client who was taking vitamin E supplements for a deficiency state would show signs of improvement after which of the following laboratory test results is improved?

A) Creatinine clearance
B) Red blood cell count
C) Uric acid
D) Serum amylase

Question 20

The nurse concludes that vitamin A supplementation has been effective if the client is free from which of the following signs of vitamin A deficiency?

A) Night blindness
B) Nausea
C) Tingling of fingers and toes
D) Easy bruising

Question 21

A client who is taking pyridoxine supplements indicates an understanding of food sources of this vitamin by indicating an intention to increase intake of which of the following items?

A) Whole grain cereals
B) Corn
C) Pineapple
D) Turkey

Question 22

The nurse would question an order for parenteral folic acid that is ordered for which of the following clients?

A) Infant with Hirschsprung's disease
B) Premature infant
C) Infant with spina bifida
D) Infant with high bilirubin levels

Question 23

A client with malnutrition is given a vitamin supplement containing ascorbic acid.The nurse explains that a benefit of ascorbic acid is that it aids in absorption of which of the following minerals from the diet?

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

Question 24

The nurse explains to a client undergoing partial gastrectomy that which of the following vitamins will be supplemented parenterally for life after surgery?

A) Thiamine
B) Niacin
C) Pyridoxine
D) Cyanocobalamin

Question 25

The nurse doing health teaching places highest priority on ensuring that clients in which of the following age groups are aware of the need for sufficient folic acid in the diet?

A) Newborns
B) School-age children
C) Young women
D) Older men