The client tells that nurse that he is taking large amounts of a variety of vitamins. The highest priority action on the part of the nurse is to caution the client that vitamins _______ can be toxic if taken in excess over time
a. A and B
b. A and E
c. B and C
d. C and D
ANS: B
As fat-soluble vitamins, vitamins A and E are not excreted and may accumulate, leading to toxic effects.
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A client who is homeless has come into the emergency department complaining of foot pain. An important factor that the nurse should remember about the homeless is that:
a. government insurance is available to them. b. the majority of them have a form of mental illness or addiction. c. health care facilities are readily accessible for them. d. employment is available to them when they choose to work.
What anthropometric data should the nurse expect to gather as part of a nutritional screening in a clinic setting?
1. Skinfold measurements 2. Height and weight 3. Religious practices 4. Hemoglobin and hematocrit
The nurse offers personal hygiene to a very modest client. Which does the nurse implement to maintain client dignity and respect?
1. Use the client's personal care products. 2. Explain hospital policy and procedure. 3. Provide care at scheduled times as promised. 4. Determine cultural and personal preferences.
What should you consider before taking emergency actions?
A) What you can do as a nursing assistant? B) Is there anyone to help you? C) Can the person in crisis be moved? D) all of the above