Which older patient is at greatest risk for vitamin D deficiency?
1. The patient with macrocytic anemia
2. The patient who does not drink milk
3. The patient who works outdoors daily and does not wear sunscreen
4. The patient who is taking isoniazid (INH) after a positive tuberculin skin test
2
Rationale: Macrocytic anemia is associated with vitamin B12 deficiency and is not associated with vitamin D deficiency risk.
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The postpartum multip is breastfeeding her new baby. The client states that she developed mastitis with her first child, and asks if there is something she can do to prevent mastitis this time. The best response of the nurse is:
1. "Massage your breasts on a daily basis, and if you find a hardened area, massage it towards the nipple to unblock that duct." 2. "Most first-time moms experience mastitis. It is really quite unusual for a woman having her second baby to get it again." 3. "Apply cold packs to any areas that feel thickened or firm in order to relieve the swelling and stasis of the milk in that area." 4. "Take your temperature once a day. This will help you to pick up the infection early, before it becomes severe."
When prioritizing a client's problems, the nurse is aware that clients at risk for alterations in self-concept require:
a. a referral to social services b. frequent monitoring against self-harm c. a complete health history and physical assessment d. development of a healthy self-concept
When planning care for a client with newly diagnosed hypertension, the nurse knows that which form of exercise would be most beneficial in lowering both systolic and diastolic blood pressure?
1. Lifting weights 2. Running 3. Bicycling 4. Competitive swimming
A patient complains of itching on her feet. On inspection the nurse observes weeping vesicles and skin that is softened and broken down between the toes? What explanation does the nurse give the patient about the cause of this skin disorder?
a. "Your itching is caused by a bacterial infection." b. "Your itching is caused by an allergic reaction." c. "Your itching is caused by a viral infection." d. "Your itching is caused by a fungal infection."