When interviewing an older adult client, the nurse discovers a list of 23 herbal and vitamin supplements that are being consumed by the client each day
Which response by the client indicates the need for further nutritional teaching by the nurse at this visit?
1. "I have been taking all of them for over 20 years now."
2. "My doctor in my old town recommended most of them."
3. "My wife also takes the same things."
4. "I know that I do not eat right all of the time, so they will keep me healthy."
Correct Answer: 4
Over-supplementation of herbs, vitamins, minerals, and sports products may be dangerous. The older adult has physiologic body changes that may change how the supplements affect the body. Many supplements have effects on medications the client may be taking; whether they are over-the-counter or prescribed medications. Use of supplements is not intended to replace healthy nutrition on a routine basis. This client needs education before there are problems. The other responses may require further investigation and an assessment of overall nutrition, but these responses do not indicate a current problem.
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