A client tells the nurse that she has had problems with kidney stones three times in the past year. As
assessment data related to diet and nutritional supplements is gathered, the nurse should pose
questions about use of megadoses of
a. vitamin A.
b. vitamin C.
c. vitamin E.
d. SAMe.
B
Large doses of vitamin C are known to cause kidney stones in some individuals. Option A: Vitamin
A megadoses produces nausea, vomiting, blurred vision, and lack of muscle coordination. Option C:
Megadoses of vitamin E may lead to hemorrhage because of its anticoagulant properties. Option D:
SAMe therapy may be helpful in relieving depression.
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A community health nurse is applying the normative-reeducative strategy of change when working with clients. In doing so, the nurse engages them into changing their behavior in addition to providing education, based on which assumption?
A) Information alone is not enough, and behaviors change through persuasion. B) Compliance by the client system will occur through the use of power to effect change. C) People are rational and will adopt a new practice because it is in their best interest. D) Clients can assume a high degree of responsibility for their own help.
A nurse makes an initial visit to a homebound patient with mental illness. A family member offers the nurse a cup of coffee. Select the nurse's best response
a. "No, thank you. I do not use products that contain caffeine." b. "Thank you. I would enjoy having a cup of coffee with you." c. "Thank you, but I would prefer to proceed with the assessment." d. "Our agency policy prohibits me from eating or drinking in patients' homes."
A nurse is assessing a client's vital signs at a health care facility. The nurse observes that the client is sweating profusely. Which of the following causes a client to sweat?
A) Medulla B) Hypothalamus C) Cerebellum D) Pituitary gland
An adolescent patient is diagnosed with hepatitis A. Which problem should the nurse consider when planning the care for this patient?
A) The patient will develop hypothermia. B) The patient will become easily fatigued. C) The patient's urine will be dark and infectious. D) The patient will be very irritable and perhaps require sedation.