The nurse assesses which client as being at greatest risk for developing vitamin deficiencies?
1. The young male client who takes phenytoin (Dilantin) for new-onset epilepsy
2. The young female client who uses oral contraceptives for birth control
3. The young male client who eats a well-balanced diet and does not take vitamins
4. The young pregnant female client who is taking prenatal vitamins
2
Rationale 1: Certain anticonvulsants can be associated with B complex deficiencies, but the client is just starting therapy so he is not at great risk.
Rationale 2: The use of oral contraceptives is associated with deficiencies of B complex vitamins.
Rationale 3: Most nutritional demands can be met with a well-balanced diet.
Rationale 4: The prenatal vitamins will meet all the vitamin requirements of the pregnant female.
Global Rationale: The use of oral contraceptives is associated with deficiencies of B complex vitamins. Certain anticonvulsants can be associated with B complex deficiencies, but the client is just starting therapy so he is not at great risk. Most nutritional demands can be met with a well-balanced diet. The prenatal vitamins will meet all the vitamin requirements of the pregnant female.
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