A pregnant patient is discussing nutrition and vitamin supplements with the nurse. Which statement by the patient indicates an understanding of the use of nutrition and supplements dur-ing pregnancy?
a. "I can get adequate folic acid by consum-ing foods fortified with synthetic folate."
b. "I need reduced amounts of vitamin C while pregnant to lower my risk of he-morrhage."
c. "I should take vitamin K so my baby won't be vitamin K deficient at birth."
d. "Excessive amounts of vitamin A [retinol] can cause birth defects in my baby."
D
Vitamin A in high doses can cause birth defects, so pregnant women should be cautioned about exceeding the UL and probably the RDA for vitamin A while pregnant. Pregnant women need to take 400 to 800 mg of supplemental folic acid in addition to that in food. Vitamin C deficiency, not excess, can lead to bleeding disorders. Maternal intake of vitamin K will not prevent infants from being born vitamin K deficient.
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The leadership team is considering unforeseen issues that may occur during the implementation phase of the life cycle. Which issues should be considered a barrier?
A) Staff training B) Poor communication C) Employing a qualified nurse informatics specialist to lead the change D) Incorporating the suggestions of point-of-care staff
The manager is concerned that a staff nurse is not appropriately implementing evidence-based practice with patient care. What did the manager observe to come to this conclusion?
1. Clinical expertise is included. 2. Patient situations are individualized. 3. Data is researched before implementing. 4. Interventions are applied to all patients assigned.
The nurse is admitting a client who gave birth 2 hours ago. The client has an epidural catheter in place. Which of the following should be immediately reported to the physician?
A) Pulse rate: 80 B) Respiratory rate: 8 C) Blood pressure: 120/80 D) Pain rating of 4 on scale of 1–10
Home health nurses experience a variety of challenges in caring for their clients. Unlike the acute care setting, entry into the home is ___________
Fill in the blank with the appropriate word.