Mr. Jones is a 45-year-old patient who presents for a physical examination. On examination, you note costochondral beading, an enlarged skull, and bowed legs and diagnose him with rickets
A deficiency of which fat-soluble micronutrient can result in rickets? a. Vitamin A
b. Vitamin E
c. Vitamin D
d. Vitamin K
C
Diets deficient in vitamin D can cause rickets. Today, milk is fortified with vitamin D; therefore, rickets is seldom seen in the United States. Vitamin A deficiency causes night blindness, dry eyes, and poor bone growth. Vitamin E deficiency causes hyporeflexia, retinal degeneration, and red cell hemolysis in malnourished infants. Vitamin K deficiency results in prolonged bleeding and prothrombin time, which are hemorrhagic manifestations.
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From the Total Quality Management (Continuous Quality Improvement) focus on delivering quality health care, quality is defined as:
1. Risk reduction 2. Customer satisfaction 3. Increased efficiency 4. Improved functional status
While gathering a nursing history about a client's previous hospitalizations and surgeries, the nurse finds out that this is the client's first hospitalization and that he hasn't had any surgeries. The nurse would document which of the following?
A) Client denies prior hospitalizations and surgeries B) Client has not been hospitalized before nor has he had any surgery C) Client answered no to previous hospitalizations or surgery D) Negative for past hospitalizations
What is a distinguishing trait of integrated leader-managers?
1 . They think short term. 2 . They look inward, toward the micromanagement of the organization. 3 . They influence others beyond their own group. 4 . They emphasize vision, values, and motivation. A) 1, 2 B) 2, 3 C) 1, 4 D) 3, 4
In end-stage liver disease, hypervolemia is always a problem. What nursing interventions would be most appropriate when caring for these patients? (Mark all that apply.)
A) Administering diuretics B) Giving pain medications C) Implementing fluid restrictions D) Teaching nutrition E) Enhancing patient positioning