The nurse is conducting an assessment of a new client who has been using megadoses of nutritional supplements for several years
The nurse is aware that consistently high doses of many vitamins have no adverse effects; however, long-term exposure to synthetic folic acid may do which of the following? A) Mask a deficiency of vitamin B12
B) Can cause a temporary sensory neuropathy
C) May increase the risk of heart disease
D) Increase the need for other B vitamins
A
Feedback:
Long-term exposure to synthetic folic acid may mask vitamin B12 deficiency, which can cause permanent neurologic damage if left untreated. Other potential risks include an increased risk of cognitive decline in older people with a low vitamin B12 status, increased tumorigenesis in clients with pre-existing lesions, and increased risk of cancer in general.
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A) lactase enzymatic activity is not adequate B) oxygen demands need to be reduced C) renal solute lead must be considered D) hyperbilirubinemia is likely
A client is admitted to the Alzheimer's unit. Which of the following assessment parameters is consistent with severe Alzheimer's disease?
A) Poor short-term memory B) Mild anomia C) Wandering or pacing D) Total loss of speech
Which patient statement indicates that the nurse's teaching about prevention of COPD has been effective?
A) "Only cigarette smoking can cause COPD." B) "Secondhand smoke does not lead to COPD." C) "Use of a water pipe does not lead to COPD." D) "Pipe smoking can cause COPD."
The nurse is caring for a pediatric client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) disorder. Which interventions should the nurse implement for this child?
1. Encouragement of fluids 2. Strict intake and output 3. Administration of ordered diuretics 4. Specific gravity of urine 5. Weight only on admission but not daily