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?

Accepted Answer

Excess intake of pyridoxine, also known as vitamin B6, can lead to sensory neuropathy, which often manifests as numbness in the hands and feet.

Question 2

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

Accepted Answer

Imbalanced nutrition, less than body requirements is the most appropriate nursing diagnosis for a client requiring vitamin and mineral replacement as the client is not meeting the intake of necessary nutrients for optimal health.

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?

Accepted Answer

Excessive intake of vitamin A can lead to a condition called carotenemia, which results in orange discoloration of the skin and eyes.

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?

Accepted Answer

Green leafy vegetables, such as spinach, are high in iron content and are a good dietary source of iron.

Question 5

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

Accepted Answer

Thiamine is a B-vitamin that helps the body convert food into energy. Thiamine deficiency can result in neurological and cardiovascular symptoms. Therefore, if thiamine replacement therapy is successful, normal assessment data should be noted for the cardiovascular and neurologic systems. Respiratory, renal, gastrointestinal, and urinary systems are not directly related to thiamine deficiency.

Question 6

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

Accepted Answer

Fish is a good source of vitamin D. Chicken, turkey, and veal are not significant sources of vitamin D.

Question 7

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

Accepted Answer

Water-soluble vitamins, unlike fat-soluble vitamins, are not stored in large amounts in the body and can be quickly depleted, making them important components of enzyme systems. They are not stored in the liver and fatty tissue in significant amounts and can become deficient relatively quickly with inadequate intake.

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?

Accepted Answer

Niacin, also known as vitamin B3, can lower LDL (bad) cholesterol levels and increase HDL (good) cholesterol levels, making it a potential recommendation for a client with hyperlipidemia. Thiamine (B1), folic acid (B9), and pyridoxine (B6) do not have significant effects on cholesterol levels.

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?

Accepted Answer

Flushing of the skin is a common side effect of high doses of niacin and is not harmful. It occurs because niacin causes vasodilation, or the widening of blood vessels, leading to increased blood flow and a sensation of warmth and redness in the skin.

Question 10

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

Accepted Answer

Vitamin D (Calcitriol) is absorbed from the small intestine, specifically the duodenum and jejunum, where it combines with calcium to promote bone health.

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?

Accepted Answer

The administration of calcifediol and calcitriol can cause hypercalcemia which can lead to flank pain. Increased appetite and orange sputum are not associated adverse effects of these medications. Hypotension is a rare adverse effect of calcitriol.

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?

Accepted Answer

Ecchymoses, or bruises, may be a sign of vitamin K deficiency. Vitamin K is essential for blood clotting, and a deficiency can result in easy bruising or bleeding. Other symptoms of vitamin K deficiency may include osteoporosis and excessive bleeding. If the client has not experienced falls or injury, the bruises may be a result of vitamin K deficiency rather than trauma. Therefore, the client may need replacement of vitamin K.

Question 13

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

Accepted Answer

Iron dextran injections should be administered intramuscularly with a Z-track method of administration to prevent leakage of the iron solution into subcutaneous tissue, which can cause staining and irritation. The use of a half-inch or longer needle with a gauge no smaller than 22 is recommended to avoid clogging the needle with the viscous iron solution. Subcutaneous injection is not recommended as it can cause discoloration and irritation at the injection site. Intradermal injection is not recommended for iron dextran as it is too viscous and a very small amount of medication can be administered with this technique. A half-inch, 28-gauge needle may not be long enough and the gauge may be too small.

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?

Accepted Answer

Thiamine is generally well tolerated, but hypersensitivity reactions including anaphylaxis, angioedema, and urticaria occur rarely. Therefore, the nurse must assess for these rare reactions during injection. Tachycardia, decline in respiratory rate, muscle twitching, and chills are not commonly associated with thiamine administration.

Question 15

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

Accepted Answer

Seizures are a late sign of iron toxicity and may occur in severe cases. Hypothermia, erythema, and diarrhea are not typically associated with iron toxicity.

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?

Accepted Answer

Blurred vision is a sign of vitamin E toxicity and should be reported to the physician so that appropriate action can be taken. Dysphagia, hypertension, and irritability are not associated with vitamin E toxicity.

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?

Accepted Answer

Pyridoxine can decrease the effectiveness of levodopa by increasing its metabolism. This can lead to increased symptoms of Parkinson's disease as levodopa is the mainstay of treatment for this condition. In some cases, supplementation with pyridoxine may be necessary to address a vitamin B6 deficiency, but careful monitoring is required to ensure that it does not worsen Parkinson's symptoms.

Question 18

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

Accepted Answer

Cracking of lips and corners of the mouth is a symptom of riboflavin deficiency. The other options are not specific to a riboflavin deficiency. Sensitivity to cold may indicate a thyroid problem, a dry red rash may be due to other causes such as eczema or psoriasis, and excessive tearing of the eyes may indicate an eye infection or other issues with the eye.

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?

Accepted Answer

Vitamin E is important for maintaining red blood cell (RBC) integrity and function. Therefore, if a deficiency state is present, an improvement in RBC count would indicate a response to vitamin E supplementation. Improvements in creatinine clearance, uric acid levels, or serum amylase would not be directly related to a vitamin E deficiency.

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?

Accepted Answer

Night blindness is a classic sign of vitamin A deficiency, so if the client is free from this symptom, it is a good indication that vitamin A supplementation has been effective. Nausea, tingling of fingers and toes, and easy bruising are not typically associated with vitamin A deficiency.

Quiz 67: Vitamins and Minerals

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?

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

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?

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?

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

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

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

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 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?

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

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

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?

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

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?

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

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 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?

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

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?

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?

Quiz 67: Vitamins and Minerals

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?

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

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?

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?

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

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

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

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 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?

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

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

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?

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

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?

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

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 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?

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

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?

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 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?