The nurse is caring for a client with a history of vitamin deficiencies. Which items in the client history does the nurse conclude may be the cause of these deficiencies? (Select all that apply.)

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Chronic alcoholism
2. Prolonged parenteral feeding
3. Adequate diet
4. Poverty
5. Smoking


Correct Answer: 1, 2, 4

Rationale 1: In the United States, deficiencies are most often the result of poverty, fad diets, chronic alcoholism, or prolonged parenteral feeding. Infants, pregnant women, nursing mothers, older adults, and those eating a vegan or vegetarian diet often require larger amounts of vitamins and minerals to maintain optimal health.
Rationale 2: In the United States, deficiencies are most often the result of poverty, fad diets, chronic alcoholism, or prolonged parenteral feeding. Infants, pregnant women, nursing mothers, older adults, and those eating a vegan or vegetarian diet often require larger amounts of vitamins and minerals to maintain optimal health.
Rationale 3: Deficiencies are most often the result of poverty, fad diets, chronic alcoholism, or prolonged parenteral feeding.
Rationale 4: In the United States, deficiencies are most often the result of poverty, fad diets, chronic alcoholism, or prolonged parenteral feeding. Infants, pregnant women, nursing mothers, older adults, and those eating a vegan or vegetarian diet often require larger amounts of vitamins and minerals to maintain optimal health.
Rationale 5: In the United States, deficiencies are most often the result of poverty, fad diets, chronic alcoholism, or prolonged parenteral feeding. Infants, pregnant women, nursing mothers, older adults, and those eating a vegan or vegetarian diet often require larger amounts of vitamins and minerals to maintain optimal health.

Global Rationale: In the United States, deficiencies are most often the result of poverty, fad diets, chronic alcoholism, or prolonged parenteral feeding. Infants, pregnant women, nursing mothers, older adults, and those eating a vegan or vegetarian diet often require larger amounts of vitamins and minerals to maintain optimal health. An adequate diet and a history of smoking are not causes for vitamin deficiencies.

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