Chapter 35 NCLEX-Style Review Questions

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A client, diagnosed with iron deficiency, has been taking oral ferrous sulfate for several days. When the nurse is assessing for therapeutic effects, what question is most warranted?

"How is your energy level compared with a few days ago?"

An adult client has told the nurse that vitamin supplements are to be avoided because "natural sources of vitamins are the only way to go." What information about synthetic vitamins should be the basis of the nurse's response?

1. Synthetic vitamins are less expensive than some natural sources. 2. Natural and synthetic sources of vitamins are equivalent in function.

Understanding the absorption of fat-soluble vitamins, what substance is necessary to facilitate absorption from the intestine with dietary fat?

1. bile salts 2. pancreatic lipase

How much calcium should be ingested daily?

1000 to 1300 mg

What amount of fluid does an adult need daily to maintain sufficient hydration?

2 to 3 L

What is the daily upper intake level of calcium?

2500 mg

What important fact should be included in education to a client interested in the safe use of vitamin supplements?

Large doses of any mineral is potentially toxic.

When administering medications through a feeding tube, what intervention should the nurse implement?

Obtain liquid medication forms of medications whenever possible.

Sodium polystyrene sulfonate is administered to eliminate potassium from the body in cases of hyperkalemia. How is the medication administered?

Orally or rectally

When administering oral iron supplements to a client, the nurse should prioritize what action?

administering the drug with water

A client has just presented for care after a positive OTC pregnancy test. When performing health education with this client, the nurse should emphasize the need for supplementation with what nutrient?

folic acid

Which medication, being taken regularly by a client, may create a need for oral potassium supplementation?

furosemide

Which vitamin may be stored in the liver at toxic levels?

vitamin A

Accidental overdose of which drug would warrant the immediate (STAT) administration of vitamin K?

warfarin

What nutrient is under supplied in commercially prepared enteral formulas?

water


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