A nursing history on a 16-year-old female reveals that the adolescent takes a multivitamin with 0.5 mg of fluoride and 0.4 mg of folic acid each day. The concern the nurse should bring to the attention of the physician is the:
1. Presence of fluoride in the multivitamin.
2. Amount of fluoride in the multivitamin, which is too low. It should be 1.0 mg each day.
3. Intake of folic acid.
4. Need for a daily iron tablet.
1
Rationale:
1. Fluoride supplementation is not recommended for teenagers. Fluoride supplementation should be stopped at 14 years old.
2. Fluoride supplementation is not recommended for teenagers. Fluoride supplementation should be stopped at 14 years old.
3. Folic acid is recommended for all women of childbearing age to prevent neural tube defects.
4. There are no data to support iron recommendations for the client in this scenario.
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A patient presents to the clinician with a sore throat, fever of 100.7°F, and tender anterior cervical lymphadenopathy. The clinician suspects strep throat and performs a rapid strep test that is negative. What would the next step be?
a. The patient should be instructed to rest and increase fluid intake as the infection is most likely viral and will resolve without antibiotic treatment. b. Because the patient does not have strep throat, the clinician should start broad spectrum antibiotics in order to cover the offending pathogen. c. A throat culture should be performed to confirm the results of the rapid strep test. d. The patient should be treated with antibiotics for strep throat as the rapid strep test is not very sensitive.
First-pass effect can result in a large fraction of an administered drug's being metabolically deactivated. Which client factors will decrease the magnitude of the first-pass effect? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Elderly client 2. Hepatic disease 3. Gall bladder disease 4. Renal disease 5. Parental medication administration
Identify a symptom associated with benign prostatic hyperplasia in males.
A. Increased constriction of the smooth muscle of the urethra B. Decreased urine flow C. Enlargement of the prostate gland D. All of these are correct.