An older adult patient comes to the doctor's office with complaints of malaise, nervousness, and difficulty walking. Her blood work reveals a deficiency in pyridoxine. The nurse would know that the patient has a deficiency in which vitamin?
a. Vitamin C
b. Vitamin D
c. Vitamin B12
d. Vitamin B6
ANS: D
Pyridoxine deficiency is most likely to develop in the older adult population. Symptoms include malaise, nervousness, irritability, and difficulty walking.
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A nurse is participating in a baccalaureate course. For the class, she has to attend the legislative session regarding the new role of medication assistants. Nurses should be involved in shaping public policy primarily because:
a. Involvement will enable nurses to take over the healthcare system at some point in the future. b. Other healthcare professions are less con-cerned about the essential needs of clients. c. Such activities are important career build-ers for nurses who seek top-level executive positions. d. They are closest to the front line of health care and see how it affects clients and families.
When reviewing the health history of a patient, the nurse will note that a potential contraindication to potassium supplements exists if the patient has which problem?
a. Burns b. Diarrhea c. Renal disease d. Cardiac tachydysrhythmias
A 27-year-old woman arrives at the emergency department after being struck by lightning. After successful resuscitation, what laboratory findings might the nurse expect to be ordered?
A. Normal CBC, decreased serum creatinine and BUN levels B. Elevated creatinine kinase and BUN levels, hyperkalemia C. Normal creatinine kinase and BUN levels, hypokalemia D. Normal CBC, normal creatinine level, elevated BUN level, hypokalemia
A client with acquired immunodeficiency syndrome (AIDS) develops Pneumocystis carinii pneumonia. Which nursing diagnosis has the highest priority?
a) Imbalanced nutrition: Less than body requirements b) Impaired oral mucous membranes c) Activity intolerance d) Impaired gas exchange