Question 1

The school health nurse is discussing vitamin supplements with a group of parents at the monthly PTO meeting.What concept would the nurse include in the teaching about vitamin C?

Accepted Answer

Vitamin C is known to enhance the absorption of iron when consumed along with iron-rich foods or supplements. This is an important concept to include in the teaching about vitamin C to the group of parents.

Question 2

The nurse would expect to administer injections of cyanocobalamin (vitamin B₁₂)to a client with:

Accepted Answer

Cyanocobalamin (vitamin B12) injections are given to clients with pernicious anemia, which is a type of anemia caused by a deficiency of vitamin B12. Iron-deficiency anemia is treated with iron supplements or injections, sickle-cell anemia is a genetic condition that is not treated with vitamin B12 injections, and aplastic anemia is treated with blood transfusions and medications to stimulate the production of new blood cells, not vitamin B12 injections.

Question 3

Which client would the nurse encourage to increase intake of ascorbic acid (vitamin C)?

Accepted Answer

Ascorbic acid, or vitamin C, is essential in wound healing as it aids in collagen synthesis. Therefore, the nurse would encourage a client with wounds from a motorcycle accident to increase their intake of vitamin C to promote healing.

Question 4

The nurse is educating a group of consumers regarding the governmental regulations of vitamins.The nurse correctly states that which standards mandated manufacturers to evaluate supplements for purity,strength,and composition?

Accepted Answer

The Current Good Manufacturing Practice (cGMP) Regulations mandated manufacturers to evaluate supplements for purity, strength, and composition. The Dietary Supplement Health and Education Act (DSHEA) established labeling and safety requirements for dietary supplements, but does not require manufacturers to evaluate their products for purity or potency. The Division of Dietary Supplement Programs is a division within the Food and Drug Administration (FDA) that oversees compliance with dietary supplement regulations, but does not set the standards for purity or potency. The Food and Nutrition Board of the National Academy of Sciences sets recommended dietary allowances for nutrients but does not regulate supplement manufacturing.

Question 5

The nurse caring for a client receiving cyanocobalamin (vitamin B₁₂)for pernicious anemia would monitor which laboratory values during therapy?

Accepted Answer

Cyanocobalamin is a form of vitamin B12 that is essential for the production of red blood cells in the bone marrow. Therefore, the nurse would monitor the client's red blood cell indices, which include a reticulocyte count, erythrocyte count, hemoglobin, and hematocrit. These laboratory values would provide the nurse with information about the client's response to therapy and the adequacy of their red blood cell production.

Question 6

What education should the nurse provide to the client who is prescribed riboflavin (vitamin B₂)?

Accepted Answer

Riboflavin can cause intense yellow discoloration of urine, which is harmless. Educating the client about this common side effect can prevent unnecessary anxiety or concern.

Question 7

The nurse who is caring for a group of elderly residents in a long-term care facility understands that the aging process influences the recommended dietary allowance (RDA)needs in this population.What statement by the nurse is most accurate concerning elderly adults?

Accepted Answer

Normal aging causes a reduction of gastric absorption due to changes in the gastrointestinal tract, which can lead to malabsorption and deficiencies in various vitamins and minerals. This is why the RDA for some nutrients, such as vitamin B12 and vitamin D, may increase in elderly adults.

Question 8

The nurse has just completed education to a client regarding the differences between fat- and water-soluble vitamins.The client shows understanding of the teaching by listing which vitamins as fat soluble?
Select all that apply.

Accepted Answer

Vitamins A, D, E, and K are all fat-soluble vitamins. Vitamin C is the only water-soluble vitamin listed.

Question 9

The nurse is teaching a client about the importance of the macromineral calcium in the diet.Which responses by the client indicate understanding of the information presented by the nurse?
Select all that apply.

Accepted Answer

Calcium is important for bone construction, muscle contractions, and nerve conduction. While calcium does play a role in fluid balance, it is not one of its primary functions, and there is insufficient evidence to support the claim that it supports a healthy immune system.

Question 10

The client who is prescribed vitamin K (phytonadione)asks the nurse,"How does the body normally receive this vitamin?" The most appropriate response by the nurse is Vitamin K is:

Accepted Answer

Vitamin K is primarily produced by bacteria in the gastrointestinal tract, which is a significant source of this vitamin for the human body, in addition to dietary intake.

Question 11

The nurse knows that the pharmacologic uses for magnesium include multiple pathologic conditions,including:
Select all that apply.

Accepted Answer

The answer of The nurse knows that the pharmacologic uses...

Question 12

The client with Parkinsonism asks the nurse why vitamin B₆ should be avoided.Which response would be most appropriate for the nurse?

Accepted Answer

Vitamin B6 can reverse or antagonize the therapeutic effects of some anti-Parkinson drugs, such as levodopa. Therefore, it should be avoided to prevent interference with the effectiveness of medication.

Question 13

To promote a well-balanced diet,what information should the nurse who is helping the client select foods from the hospital menu take into account?

Accepted Answer

Daily intake of water-soluble vitamins is essential for health, as they are not stored in the body and must be replenished daily through diet. While vitamin supplementation can be helpful in certain situations, it cannot fully substitute for a well-balanced diet. Additionally, not all individuals require vitamin supplementation, so it is important for the nurse to assess the client's specific needs and dietary preferences. Consuming enriched foods can be helpful in obtaining certain vitamins, but it is not the only way to obtain all necessary vitamins. Therefore, option C is the best choice as it emphasizes the importance of a well-balanced diet for overall health.

Question 14

The nurse is educating a client regarding the FDA regulations of dietary supplements.The nurse correctly states that which products are included in these regulations?
Select all that apply.

Accepted Answer

The answer of The nurse is educating a client regarding...

Question 15

The client is a fitness enthusiast who adheres to a regimen of high vitamin supplement intake.Which vitamins would the nurse assess for hypervitaminosis?
Select all that apply.

Accepted Answer

High vitamin supplement intake increases the risk of hypervitaminosis, which is the condition of having excessively high levels of vitamins in the body. Vitamins A, E, D, and C are all fat-soluble vitamins, which means that they can accumulate in the body over time and lead to toxicity. Riboflavin (vitamin B2) is a water-soluble vitamin, meaning that it is excreted in urine and generally not associated with toxicity at high levels.

Question 16

The school nurse has presented a learning activity for a high school health promotion course.Which student statement indicates an understanding of water-soluble vitamins?
Select all that apply.

Accepted Answer

A) This statement correctly identifies vitamins C and B complex as the primary water-soluble vitamins.
E) This statement correctly acknowledges the importance of daily intake of water-soluble vitamins, as they are not stored in the body and need to be replenished regularly. 
B) This statement is incorrect - fat-soluble vitamins have a higher potential for toxicity and overdosing as they can be stored in the body for long periods of time.
C) This statement is incorrect - water-soluble vitamins are not stored in the body for long periods of time and are typically excreted within a few days.
D) This statement is incorrect - water-soluble vitamins are not stored in the liver or other body tissues, but are instead circulated in the blood and excreted in urine.

Question 17

The nurse is discussing vitamins with a group of pregnant women at a community center when one of the participants asks,"What vitamin deficiency during pregnancy is a frequent cause of spina bifida in newborn infants?" The nurse correctly responds by stating:

Accepted Answer

Folic acid deficiency during pregnancy is a frequent cause of neural tube defects, including spina bifida, in newborn infants. Therefore, the correct vitamin to prevent this is folic acid (vitamin B9). Cyanocobalamin (vitamin B12) is important for the development of healthy red blood cells, but it is not directly linked to spina bifida. Ascorbic acid (vitamin C) is essential for healthy skin and connective tissue, but it does not play a significant role in preventing spina bifida. Manganese is a mineral that is necessary for bone development and wound healing but is not linked to spina bifida in newborns.

Question 18

The nurse states that due to its abundance in food,thiamine deficiency in the United States is not common except in:

Accepted Answer

Thiamine is commonly found in the American diet due to the fortification of food, but it is commonly deficient in individuals with chronic alcoholism, as alcohol interferes with thiamine absorption and metabolism. Chronic alcoholism is associated with liver disease, which can further exacerbate thiamine deficiency. Therefore, option D is the correct answer.

Quiz 61: Vitamins and Minerals

The school health nurse is discussing vitamin supplements with a group of parents at the monthly PTO meeting.What concept would the nurse include in the teaching about vitamin C?

The nurse would expect to administer injections of cyanocobalamin (vitamin B₁₂) to a client with:

Which client would the nurse encourage to increase intake of ascorbic acid (vitamin C) ?

The nurse is educating a group of consumers regarding the governmental regulations of vitamins.The nurse correctly states that which standards mandated manufacturers to evaluate supplements for purity,strength,and composition?

The nurse caring for a client receiving cyanocobalamin (vitamin B₁₂) for pernicious anemia would monitor which laboratory values during therapy?

What education should the nurse provide to the client who is prescribed riboflavin (vitamin B₂) ?

The nurse who is caring for a group of elderly residents in a long-term care facility understands that the aging process influences the recommended dietary allowance (RDA) needs in this population.What statement by the nurse is most accurate concerning elderly adults?

The nurse has just completed education to a client regarding the differences between fat- and water-soluble vitamins.The client shows understanding of the teaching by listing which vitamins as fat soluble? Select all that apply.

The nurse is teaching a client about the importance of the macromineral calcium in the diet.Which responses by the client indicate understanding of the information presented by the nurse? Select all that apply.

The client who is prescribed vitamin K (phytonadione) asks the nurse,"How does the body normally receive this vitamin?" The most appropriate response by the nurse is Vitamin K is:

The nurse knows that the pharmacologic uses for magnesium include multiple pathologic conditions,including: Select all that apply.

The client with Parkinsonism asks the nurse why vitamin B₆ should be avoided.Which response would be most appropriate for the nurse?

To promote a well-balanced diet,what information should the nurse who is helping the client select foods from the hospital menu take into account?

The nurse is educating a client regarding the FDA regulations of dietary supplements.The nurse correctly states that which products are included in these regulations? Select all that apply.

The client is a fitness enthusiast who adheres to a regimen of high vitamin supplement intake.Which vitamins would the nurse assess for hypervitaminosis? Select all that apply.

The school nurse has presented a learning activity for a high school health promotion course.Which student statement indicates an understanding of water-soluble vitamins? Select all that apply.

The nurse is discussing vitamins with a group of pregnant women at a community center when one of the participants asks,"What vitamin deficiency during pregnancy is a frequent cause of spina bifida in newborn infants?" The nurse correctly responds by stating:

The nurse states that due to its abundance in food,thiamine deficiency in the United States is not common except in:

Quiz 61: Vitamins and Minerals

The school health nurse is discussing vitamin supplements with a group of parents at the monthly PTO meeting.What concept would the nurse include in the teaching about vitamin C?

The nurse would expect to administer injections of cyanocobalamin (vitamin B12) to a client with:

Which client would the nurse encourage to increase intake of ascorbic acid (vitamin C) ?

The nurse is educating a group of consumers regarding the governmental regulations of vitamins.The nurse correctly states that which standards mandated manufacturers to evaluate supplements for purity,strength,and composition?

The nurse caring for a client receiving cyanocobalamin (vitamin B12) for pernicious anemia would monitor which laboratory values during therapy?

What education should the nurse provide to the client who is prescribed riboflavin (vitamin B2) ?

The nurse who is caring for a group of elderly residents in a long-term care facility understands that the aging process influences the recommended dietary allowance (RDA) needs in this population.What statement by the nurse is most accurate concerning elderly adults?

The nurse has just completed education to a client regarding the differences between fat- and water-soluble vitamins.The client shows understanding of the teaching by listing which vitamins as fat soluble? Select all that apply.

The nurse is teaching a client about the importance of the macromineral calcium in the diet.Which responses by the client indicate understanding of the information presented by the nurse? Select all that apply.

The client who is prescribed vitamin K (phytonadione) asks the nurse,"How does the body normally receive this vitamin?" The most appropriate response by the nurse is Vitamin K is:

The nurse knows that the pharmacologic uses for magnesium include multiple pathologic conditions,including: Select all that apply.

The client with Parkinsonism asks the nurse why vitamin B6 should be avoided.Which response would be most appropriate for the nurse?

To promote a well-balanced diet,what information should the nurse who is helping the client select foods from the hospital menu take into account?

The nurse is educating a client regarding the FDA regulations of dietary supplements.The nurse correctly states that which products are included in these regulations? Select all that apply.

The client is a fitness enthusiast who adheres to a regimen of high vitamin supplement intake.Which vitamins would the nurse assess for hypervitaminosis? Select all that apply.

The school nurse has presented a learning activity for a high school health promotion course.Which student statement indicates an understanding of water-soluble vitamins? Select all that apply.

The nurse is discussing vitamins with a group of pregnant women at a community center when one of the participants asks,"What vitamin deficiency during pregnancy is a frequent cause of spina bifida in newborn infants?" The nurse correctly responds by stating:

The nurse states that due to its abundance in food,thiamine deficiency in the United States is not common except in:

The nurse would expect to administer injections of cyanocobalamin (vitamin B₁₂) to a client with:

The nurse caring for a client receiving cyanocobalamin (vitamin B₁₂) for pernicious anemia would monitor which laboratory values during therapy?

What education should the nurse provide to the client who is prescribed riboflavin (vitamin B₂) ?

The client with Parkinsonism asks the nurse why vitamin B₆ should be avoided.Which response would be most appropriate for the nurse?