A patient tells the nurse, "Look at all my bruises. They appeared about a week after I started taking nutritional supplements from the health food store." The nurse should focus assessment questions on the patient's use of supplements containing:

a. Vitamin A
b. Vitamin B
c. Vitamin C
d. Vitamin E


ANS: D
Vitamin E has anticoagulant properties. Generally, a multiple vitamin tablet contains the minimum daily requirement of each vitamin. Taking nutritional supplements containing additional vitamin E would have the potential for causing bruising and hemorrhage. Excess Vitamin A, B, and C do not produce anticoagulant effects.

Nursing

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Which assessment would lead the nurse to suspect that a newborn infant has a ventricular septal defect?

a. A loud, harsh murmur with a systolic thrill b. Cyanosis when crying c. Blood pressure higher in the arms than in the legs d. A machinery-like murmur

Nursing

The PHN understands that the toxicity of chemicals in children is more severe than that in older populations because of which of the following reasons? Select all that apply

A. Children play in outdoor soil, which can be contaminated. B. Children may ingest substances from unlabeled, repurposed food containers. C. Children have faster rates of absorption of toxic substances. D. Parental oversight is minimal. E. Children have less developed immune systems.

Nursing

A 60-year-old female client with a positive family hx for ovarian cancer has developed an abdominal mass is being evaluated for passible ovarian cancer. Her PAP smear results are negative. What information should the nurse include in the client's teaching plan?

A. Further evaluation involving surgery may be needed B. A pelvic exam is also needed before cancer is ruled out C. Pap smear evaluation should be continued every six months D. One additional negative pap smear is six months is needed

Nursing

One nurse asks another, "Where can I find out more about outcomes that are most influenced by the actions of nursing?" The best response would be:

1. "Look at NANDA diagnostic nomenclature." 2. "Look at NIC." 3. "Look at NOC." 4. "Look at DSM-IV-TR."

Nursing