A 14-year old patient with cancer is concerned about diet, and questions the need for vitamins to supplement the diet. The patient states, "I don't think my diet alone is providing the upper intake levels (ULs) of vitamins that I need
" What is the best response from the nurse? a. "You should try to get your vitamins from food, rather than a supplement."
b. "You should be trying to achieve the recommended dietary allowances (RDA)."
c. "You should compare your diet to the UL for children, not the UL for adults."
d. "You shouldn't worry about vitamins as long as you are getting enough calories."
B
The tolerable UL is the highest level that likely poses no risk for adverse health events. It is not a recommended level of intake. There are four components to the DRIs: estimated average requirement (EAR), recommended dietary allowances (RDAs), adequate intakes (AIs), and tolerable upper intake levels (ULs). The EAR is the recommended amount of a nutrient that appears sufficient to maintain a specific body function for 50% of the population based on age and gender. The RDA is the average needs of 98% of the population, not the exact needs of an individual. The AI is the suggested intake for individuals based on observed or experimentally determined estimates of nutrient intakes by groups and is provided when there is insufficient evidence to set an RDA. "You shouldn't worry" is false reassurance and should not be used. The patient needs to be educated on not using the ULs as a measure of intake, not that vitamins from food are better than supplements.
You might also like to view...
Accelerations with fetal movement:
1. are reassuring. 2. are caused by umbilical cord compression. 3. warrant close observation. 4. are caused by uteroplacental insufficiency.
Psychosocial effects of obesity in adolescents include:
a. sense of humor or jolliness b. discrimination by others and feelings of rejection c. high self-esteem d. a positive body image and security about self
When developing a plan for workflow redesign and the use of computerized documentation, which of the following would be the first thing to consider?
A) The number of computers needed B) Location of the computers C) Wheeled or bedside type of computer D) Theft prevention
The nurse is teaching safe administration of medication to a patient who has been prescribed levothyroxine [Levoxyl]. Which statement should the nurse include in the teaching session?
A. "Take this medication with 250 mL of orange juice." B. "Always take the medication three times a day, after meals." C. "There are no dietary restrictions while taking this medication." D. "Take this medicine on an empty stomach in the morning, at least 30 to 60 minutes before eating."