Chapter 53- vitamins and minerals

The nurse identifies which food as high in zinc? A.Dark green, leafy vegetables B.Yeast C.Peas D.Oysters

D.Oysters

The nurse identifies which vitamin as most often indicated for the prevention and treatment of vision alterations? A.Vitamin A B.Vitamin B C.Vitamin C D.Vitamin D

A.Vitamin A

A client receiving vitamin K MOST likely has which abnormal clinical finding? Diarrhea Seizure activity Sudden severe confusion Altered coagulation studies

Altered coagulation studies

Client teaching regarding the administration of vitamin C would include monitoring for which signs or symptoms that may indicate vitamin C toxicity? Focal or generalized seizures Easy bleeding and/or bruising Lightheadedness and dizziness Nausea and abdominal cramping

Nausea and abdominal cramping

In addition to its use in maintaining homeostasis, the nurse would recognize a secondary use for vitamin B3 as a treatment for which disorder? a. Night blindness b. Anemia c. Hyperlipidemia d. Azotemia

c. Hyperlipidemia

The nurse would be correct in identifying the major cause of cyanocobalamin deficiency to be which disorder? a. Alcoholism b. Renal failure c. Malabsorption d. Drug therapy

c. Malabsorption

The nurse is providing wound care for a patient with a stage IV pressure ulcer and expects that the patient will receive which supplements to assist in wound healing? (Select all that apply.) a. vitamin K b. vitamin B1 c. zinc d. calcium e. vitamin C

c. zinc e. vitamin C

What vitamin can be synthesized by the skin when exposed to sunlight but can also be supplemented as needed? Vitamin C Vitamin K Vitamin D Vitamin B complex

Vitamin D

The nurse is educating a client on vitamin supplementation. The client states, "I take a lot of vitamins every day to stay healthy." Based on knowledge and understanding of vitamin supplements, what is the nurse's best response? "That's good. You do not want to get sick from nutrient deficiencies." "You need to make certain that is okay with your health care provider." "Keep taking these vitamin pills because they are essential to any diet." "Can you tell me what vitamins you take and how many and how often?"

"Can you tell me what vitamins you take and how many and how often?"

Which vitamin does the nurse expect to be ordered for a patient diagnosed with Wernicke's encephalopathy? A. Vitamin B1 (thiamine) B. Vitamin B6 (pyroxidine) C. Vitamin B9 (folic acid) D. Vitamin B12 (cyanocobalamin)

A. Vitamin B1 (thiamine)

A patient is taking isoniazid for tuberculosis. The nurse anticipates supplementation with which vitamin for the prevention of drug-induced neuritis? A.Vitamin C (ascorbic acid) B.Vitamin B6 (pyroxidine) C.Vitamin K (AquaMEPHYTON) D.Vitamin E (d-alpha tocopherol)

B.Vitamin B6 (pyroxidine)

The nurse is providing education about the use of vitamins and minerals at a community health center. One of the participants who is a vegetarian asks if he is at risk for any deficiencies. The nurse identifies which substance as the most common nutritional deficiency in vegetarians? A. Vitamin K B. Magnesium C. Vitamin B12 D. Calcium

C. Vitamin B12

Which substance does the nurse identify as useful in the treatment of hyperlipidemia? A.Vitamin K B.Magnesium C.Vitamin B3 (Niacin) D.Calcium

C.Vitamin B3 (Niacin)

When administering intravenous magnesium sulfate, the nurse will monitor for which signs and symptoms of hypermagnesemia? Tachycardia Hyperthermia Decrease in deep tendon reflexes Excessive perspiration or sweating

Decrease in deep tendon reflexes

The nurse would question a health care provider's prescription for vitamin D in a client with which condition? Graves' disease Hypothyroidism Chronic renal failure Hyperparathyroidism

Hyperparathyroidism

Which mineral is essential for energy metabolism but may also be used in higher doses to treat certain seizures and preeclampsia? Zinc Calcium Magnesium Phosphorus

Magnesium

Cyanocobalamin (vitamin B12) is indicated for the treatment of which condition? Pernicious anemia Optic nerve atrophy Bone marrow suppression Acute lymphocytic leukemia

Pernicious anemia

What vitamins are MOST likely to lead to toxic levels, hypervitaminosis, when administered in megadoses? (Select all that apply.) Vitamin A Vitamin C Vitamin D Vitamin K Vitamin B complex

Vitamin A Vitamin D Vitamin K

When administering vitamin and mineral supplements, the nurse implements which appropriate interventions? (Select all that apply.) a. Not administering oral calcium tablets along with oral tetracyclines b. Administering intravenous calcium via a rapid intravenous push infusion c. Monitoring the heart rhythm (ECG) of a patient receiving an intravenous magnesium infusion d. Giving oral niacin with milk or food to decrease gastrointestinal upset e. Monitoring for the formation of renal stones in patients taking large doses of vitamin C

a. Not administering oral calcium tablets along with oral tetracyclines c. Monitoring the heart rhythm (ECG) of a patient receiving an intravenous magnesium infusion d. Giving oral niacin with milk or food to decrease gastrointestinal upset e. Monitoring for the formation of renal stones in patients taking large doses of vitamin C

The nurse will assess which laboratory test results before the administration of vitamin K? a. Prothrombin time and international normalized ratio b. Red blood cell and white blood cell counts c. Phosphorous and calcium levels d. Total protein and albumin levels

a. Prothrombin time and international normalized ratio

When giving vitamins, the nurse needs to remember that certain vitamins can be toxic if consumed in excess amounts. These include which vitamins? (Select all that apply.) a. Vitamin A b. Vitamin C c. Niacin d. Vitamin D e. Vitamin K f. Folic acid

a. Vitamin A d. Vitamin D e. Vitamin K

While caring for a newly admitted patient who has a long history of alcoholism, the nurse anticipates that part of the patient's medication regimen will include which vitamin(s)? (Select all that apply.) a. vitamin B1 (thiamine) b. vitamin B2 (riboflavin) c. vitamin B6 (pyridoxine) d. vitamin C (ascorbic acid) e. vitamin A (retinol)

a. vitamin B1 (thiamine) b. vitamin B2 (riboflavin) c. vitamin B6 (pyridoxine)

The nurse is assessing a patient who has been recently admitted to the hospital after living on the streets for over 1 year. The nurse notes that the patient has severely chapped and fissured lips. This could be a sign of which vitamin deficiency? a. vitamin B2 (riboflavin) b. vitamin B6 (pyridoxine) c. vitamin C (ascorbic acid) d. vitamin E (tocopherols)

a. vitamin B2 (riboflavin)

A patient believes that taking megadoses of vitamin C is healthy. What should the nurse tell the patient about megadoses of vitamin C? a. They are usually nontoxic because vitamin C is water soluble. b. They can produce nausea, vomiting, headache, and abdominal cramps. c. Megadoses of vitamin C can lead to scurvy-like symptoms. d. They may cause dangerous heart dysrhythmias

b. They can produce nausea, vomiting, headache, and abdominal cramps.

A patient has GI malabsorption due to severe intestinal damage from a gastrointestinal infection. The nurse will need to assess for signs of a deficiency of which vitamin? a. vitamin A (retinol) b. vitamin B12 (cyanocobalamin) c. vitamin B6 (pyridoxine) d. vitamin E (tocopherols

b. vitamin B12 (cyanocobalamin)

When giving calcium intravenously, the nurse needs to administer it slowly, keeping in mind that rapid intravenous administration of calcium may cause which problem? a. Ototoxicity b. Renal damage c. Tetany d. Cardiac irregularities

d. Cardiac irregularities

A patient has ingested an excessive amount of water-soluble vitamins. The nurse expects what to happen? a. The body will store them in muscle and fat tissue until needed. b. They are stored in the liver until needed. c. They will circulate in the blood, bound to proteins, until needed. d. Excess amounts will be excreted in the urine.

d. Excess amounts will be excreted in the urine.

The nursing student would correctly identify which site as the storage location for the fat-soluble vitamins? a. The pancreas b. The bone marrow c. The spleen d. The liver

d. The liver

When reviewing the diet of a patient who has a calcium deficiency, the nurse recalls that efficient absorption of calcium in the diet requires adequate amounts of which substance? a. Magnesium b. Intrinsic factor c. Coenzymes d. Vitamin D

d. Vitamin D