The nurse is caring for a newborn who has been NPO since birth. Due to the lack of normal flora in the GI tract, the nurse anticipates the infant will require supplementation with:

Standard Text: Select all that apply.
1. vitamin A.
2. vitamin B-complex.
3. vitamin C.
4. vitamin K.
5. electrolytes.


Correct Answer: 2,4
Rationale 1: Normal flora is not required to synthesize vitamin A.
Rationale 2: Normal flora is required to synthesize vitamin B-complex.
Rationale 3: Normal flora is not required to synthesize vitamin C.
Rationale 4: Normal flora is required to synthesize vitamin K.
Rationale 5: Normal flora is not required to synthesize electrolytes.
Global Rationale: The colon harbors a substantial amount of bacteria and fungi, called the host flora, which serve a useful purpose by synthesizing B-complex vitamins and vitamin K. Disruption of the normal host flora can lead to diarrhea. This flora is not required to synthesize vitamin A, vitamin C, or electrolytes.

Nursing

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Dupuytren contracture affects the:

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What disorder of the axilla is most likely responsible for her symptoms?

A 43-year-old store clerk comes to your office upset because she has found an enlarged lymph node under her left arm. She states she found it yesterday when she was feeling pain under her arm during movement. She states the lymph node is about an inch long and is very painful. She checks her breasts monthly and gets a yearly mammogram (her last was 2 months ago), and until now everything has been normal. She states she is so upset because her mother died in her 50s of breast cancer. The patient does not smoke, drink, or use illegal drugs. Her father is in good health. On examination you see a tense female appearing her stated age. On visual inspection of her left axilla you see a tense red area. There is no scarring around the axilla. Palpating this area, you feel a 2-cm tender, movable lymph node underlying hot skin. Other shotty nodes are also in the area. Visualization of both breasts is normal. Palpation of her right axilla and both breasts is unremarkable. Examining her left arm, you see a scabbed-over superficial laceration over her left hand. Upon your questioning, she remembers she cut her hand gardening last week. A) Breast cancer B) Lymphadenopathy of infectious origin C) Hidradenitis suppurativa

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A nurse is conducting a family assessment and is focusing, for the moment, on the family members' communication patterns. Which of the following indicate that there are existing or potential problems with family communication?

1. All members are participating in the discussion equally, some quite vocally. 2. The verbal communication is congruent with the nonverbal messages. 3. A few of the members just sit and listen. 4. Disagreements are not addressed among members, rather ignored by the person who does the most talking.

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