Deck 38: Drugs for Nutritional Disorders

Question 1

The pregnant client asks the nurse if she can take vitamin supplements in addition to her prenatal vitamins. What is the best response by the nurse?

A) "Bring in your vitamins on the next visit so we can include them in your chart."
B) "This is dangerous; we need to do an ultrasound of your baby."
C) "The prenatal vitamins supply all the vitamins you need during your pregnancy."
D) "As long as you meet the recommended daily allowance (RDA) requirements, there will be no problem."

Answer 1

"The prenatal vitamins supply all the vitamins you need during your pregnancy."

Question 2

The nurse teaches new mothers about the reason their infants receive Vitamin K. The nurse evaluates instruction as being effective when the mothers make which statement?

A) "Our babies do not have enough intestinal bacteria to synthesize Vitamin K."
B) "Our babies will be able to get enough Vitamin K through breast milk."
C) "Our babies could receive Vitamin K through a liquid or an injection."
D) "Our babies do not need an injection of Vitamin K unless bleeding is observed."

Answer 2

"Our babies do not have enough intestinal bacteria to synthesize Vitamin K."

Question 3

The client is a vegetarian. What information would the nurse give the client as it relates to the avoidance of vitamin deficiencies?

A) A vegetarian diet is adequate to meet all of your needs, so there should be no vitamin deficiencies.
B) Increasing fluids and fibre with the vegetarian diet will help prevent vitamin deficiencies.
C) Look at the types of foods eaten on the vegetarian diet, and evaluate for possible vitamin B12 sources.
D) You are at risk for vitamin C deficiencies by following a vegetarian diet.

Answer 3

Look at the types of foods eaten on the vegetarian diet, and evaluate for possible vitamin B12 sources.

Question 4

The client has preeclampsia and might require magnesium sulfate therapy. What is a critical assessment parameter by the nurse?

A) fetal heart sounds
B) peripheral edema
C) deep tendon reflexes
D) breath sounds

Question 5

The client is receiving enteral nutrition. He reads on the bag hanging at his bedside that the liquid is a polymeric formulation. He asks the nurse what this means. What is the best response by the nurse?

A) "It means that your formulation contains a specific nutrient combination for your particular condition."
B) "It means that your formulation contains various mixtures of proteins, carbohydrates, and lipids."
C) "It means that your formulation contains a single nutrient, protein, lipid, or carbohydrate."
D) "It means that your formulation contains varying amounts of free amino acids and peptide combinations."

Question 6

The client is receiving total parenteral nutrition. What does the best plan of the nurse include to prevent complications from total parenteral nutrition (TPN)?

A) Assess the client's potassium levels.
B) Assess the client's blood pressure.
C) Assess the client's blood glucose levels.
D) Assess the client's mental status.

Question 7

The nurse is planning care for a client who receives total parenteral nutrition. What will the best plan by the nurse include?

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

Question 8

The nurse has completed medication education for the client receiving iron therapy (ferrous sulfate). The nurse evaluates that learning has occurred when the client makes which statement?

A) "I should take my iron with milk so it won't upset my stomach."
B) "My stool may become darker in colour with this medication."
C) "If I miss a dose, I can take two doses the next day."
D) "I need to increase fibre in my diet to maintain normal elimination."

Question 9

The nurse teaches young females in college about the importance of vitamins for anyone planning on becoming pregnant. Which vitamin does the nurse include as being most essential in the prevention of neural tube defects in a fetus?

A) niacin
B) thiamine
C) folic acid
D) riboflavin

Question 10

The physician orders multivitamins for the client. The client asks the nurse why she needs vitamins. What will the best teaching plan by the nurse include? Select all that apply.

A) Vitamins will heal many illnesses.
B) Vitamins are organic compounds.
C) Vitamins are inorganic compounds.
D) Vitamins are needed for growth and maintenance of normal metabolic processes.
E) Vitamins are identified as water -soluble or fat -soluble.

Question 11

Which clinical condition(s) is (are) the nurse most likely to associate with a client who has a documented history of alcoholism? Select all that apply.

A) pernicious anemia
B) pellagra
C) vitamin A deficiency
D) scurvy
E) thiamine deficiency

Question 12

The client has been consuming very high amounts of vitamin A. He asks the nurse why this is a problem since it is just a vitamin. What is the best response by the nurse?

A) "It's okay to take what you want; just cut back if you experience side effects."
B) "It really isn't a problem; your body will just get rid of the excess vitamins."
C) "Water -soluble vitamins like vitamin A are readily excreted in your urine."
D) "Fat -soluble vitamins like vitamin A are stored in your body, and too much can be toxic."

Question 13

The nurse assesses which client as being at greatest risk for developing vitamin deficiencies?

A) the young male client who takes phenytoin (Dilantin) for new -onset epilepsy
B) the young pregnant female client who is taking prenatal vitamins
C) the young male client who eats a well -balanced diet and does not take vitamins
D) the young female client who uses oral contraceptives for birth control

Question 14

The client receives topical vitamin A for the treatment of psoriasis. Which laboratory test will the nurse review when assessing for possible toxicity?

A) hemoglobin level
B) serum albumin level
C) serum potassium level
D) thyroid profile

Question 15

The nurse teaches elderly citizens at a senior citizen centre about the effectiveness of vitamin C in preventing the common cold. The nurse evaluates learning has occurred when the elderly citizens make which statement?

A) "Vitamin C, in the form of orange juice, is the most effective aid in preventing the common cold."
B) "The effect of vitamin C on the common cold relates to its ability to promote an immune response."
C) "Dosages of 1 gram per day of vitamin C are necessary to prevent the common cold."
D) "Vitamin C must be taken prior to the onset of the cold to be most effective."