Which supplement should the nurse recommend 0.4 mg per day of to help prevent fetal neural tube defects in a woman of childbearing age?
a. Vitamin B6
b. Calcium
c. Iron
d. Folic acid
ANS: D
The U.S. Public Health Service has issued an official recommendation that "all women of childbearing age in the United States who are capable of becoming pregnant should consume 0.4 mg of folic acid per day for the purpose of reducing their risk of having a pregnancy affected with spina bifida or other neural tube defects."
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A patient's mixed venous oxygen saturation level is 56%. What evaluation would the nurse make of this reading?
1. The cells are producing oxygen to meet needs. 2. The cells are not receiving enough oxygen. 3. The cells are releasing more carbon dioxide. 4. There isn't enough oxyhemoglobin to meet the patient's needs.
A manipulative patient states, "You are the only nurse who understands about my pain. Can't you give me an extra dose of pain medication?" The nurse should:
a. be matter-of-fact and explain that dosage schedules are by physician's orders. b. ignore the request. c. point out that such manipulative behavior is ineffective. d. give the extra dose.
Children in the toddler or preschool years who have congenital adrenal hyperplasia will have which of the following symptoms or signs?
a. depression, loss of energy, and bruising easily b. enlarged adrenal glands, hypertension, profuse amounts of dilute urine, and edema of extremities c. premature pubic hair development, accelerated growth velocity, acne, hirsutism, and advanced bone age d. excretion of abnormally large amount of urine, and excessive thirst
The nurse applies an aquathermia heat pack to the client's right leg and removes it after no more than 45 minutes. What is the nurse trying to avoid by completing this action?
1. Vasodilation 2. Rebound phenomenon 3. Heat tolerance 4. Systemic effects