Deck 53: Vitamins and Minerals

Question 1

The nurse is preparing a plan of care for a patient undergoing therapy with vitamin A. Which of these are possible effects of vitamin A deficiency?

A) Impaired wound healing
B) Night blindness
C) Muscle twitching
D) Confusion

Answer 1

Night blindness

Question 2

The nurse will prepare to give which preparation to a newborn upon arrival in the nursery after delivery?

A) Vitamin B1 (thiamine)
B) Vitamin D (calciferol)
C) Folic acid
D) Vitamin K (AquaMEPHYTON)

Answer 2

Vitamin K (AquaMEPHYTON)

Question 3

A patient will be starting vitamin D supplements. The nurse reviews his medical record for contraindications, including which condition?

A) Renal disease
B) Cardiac disease
C) Hypophosphatemia
D) There are no contraindications to vitamin D supplements.

Answer 3

Renal disease

Question 4

Niacin is prescribed for a patient who has hyperlipidemia. The nurse checks the patient's medical history, knowing that this medication is contraindicated in which disorder?

A) Renal disease
B) Cardiac disease
C) Liver disease
D) Diabetes mellitus

Question 5

The patient asks the nurse about taking large doses of vitamin C to improve her immunity to colds. "It's just a vitamin, right? What can happen?" Which responses by the nurse are correct?

A) "Vitamin C is harmless because it is a water-soluble vitamin."
B) "Large doses of vitamin C can cause nausea, vomiting, headache, and abdominal cramps."
C) "Keep in mind that if you suddenly stop taking these large doses, you might experience symptoms similar to scurvy."
D) "Studies have shown that vitamin C has little value in preventing the common cold."
E) "Vitamin C acidifies the urine, which can lead to the formation of kidney stones."
F) "Large doses of vitamin C may delay wound healing."

Question 6

During an intravenous infusion of calcium, the nurse carefully monitors the patient for symptoms of hypercalcemia. Which are symptoms of hypercalcemia?

A) Anorexia
B) Nausea and vomiting
C) Diarrhea
D) Constipation
E) Cardiac irregularities
F) Drowsiness

Question 7

A patient is on vitamin D supplemental therapy. The nurse will monitor for which signs of toxicity during this therapy?

A) Tinnitus
B) Anorexia
C) Diarrhea
D) Hypotension

Question 8

A patient will be receiving monthly injections of cyanocobalamin (Nascobal). The dose is 100 mcg/month IM. The medication is available in a strength of 1000 mcg/mL. Identify how many milliliters the nurse will draw up into the syringe. (record answer using one decimal place) _______

Question 9

A patient with a history of alcohol abuse has been admitted for severe weakness and malnutrition. The nurse will prepare to administer which vitamin preparation to prevent Wernicke's encephalopathy?

A) Vitamin B3 (niacin)
B) Vitamin B1 (thiamine)
C) Vitamin B6 (pyridoxine)
D) Folic acid

Question 10

A newly admitted patient has orders for a zinc supplement. The nurse reviews the patient's medical history and concludes that the zinc is ordered for which reason?

A) To treat pellagra
B) To aid in wound healing
C) To treat osteomalacia
D) As an antidote for anticoagulant overdose

Question 11

The nurse is reviewing vitamin therapy in preparation for a nutrition class. Which statements are accurate regarding vitamin C (ascorbic acid)?

A) Vitamin C is important in the maintenance of bone, teeth, and capillaries.
B) Vitamin C is essential for night vision.
C) Vitamin C is important for tissue repair.
D) Vitamin C is found in animal sources such as dairy products and meat.
E) Vitamin C is found in tomatoes, strawberries, and broccoli.
F) Vitamin C is also known as the "sunshine vitamin."
G) Vitamin C deficiency is known as scurvy.

Question 12

A patient accidentally took an overdose of the anticoagulant warfarin (Coumadin), and the nurse is preparing to administer vitamin K as an antidote. Which statement about vitamin K is accurate?

A) The vitamin K dose will be given intramuscularly.
B) The patient will take oral doses of vitamin K after the initial injection.
C) The vitamin K cannot be given if the patient has renal disease.
D) The patient will be unresponsive to warfarin therapy for 1 week after the vitamin K is given.

Question 13

The nurse is counseling a patient about calcium supplements. Which dietary information is appropriate during this teaching session?

A) "Take oral calcium supplements with meals."
B) "There are no drug interactions with calcium products."
C) "Avoid foods that are high in calcium, such as beef, egg yolks, and liver."
D) "Be sure to eat foods high in calcium, such as dairy products and salmon."

Question 14

The nurse is reviewing conditions caused by nutrient deficiencies. Conditions such as infantile rickets, tetany, and osteomalacia are caused by a deficiency in which vitamin or mineral?

A) Vitamin D
B) Vitamin C
C) Zinc
D) Cyanocobalamin (vitamin B??)