The pediatric nurse is preparing a teaching plan about vitamins for parents of school-age children. What vital information will the nurse include in the plan? Select all that apply
a. Vitamins are needed for cellular metabolism.
b. Vitamins are necessary for preventing particular deficiency diseases.
c. Because the body does not make vitamins, they must be supplied by the foods we eat.
d. The most important vitamin for children is vitamin C.
e. Vitamin C toxicity occurs in people with liver dysfunction.
A, B, C
Vitamins are organic substances that are necessary for metabolism or preventing a particular deficiency disease. Because the body cannot make vitamins, they must be supplied by the foods we eat. Vitamins are critical in building and maintaining body tissue, supporting our immune system so we can fight disease, and ensuring healthy vision. There is no reference that children need any other specific vitamin, such as vitamin C, more than others; all are important for healthy bodily functions. Because vitamin C is soluble in water, any excessive amount is regularly excreted by the kidneys into the urine. Thus, toxicity is rare except in people with renal disease—not liver disease.
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Parents or guardians have authority to make choices about their child's health care in almost all circumstances. In which situation would the parents or guardians not have such authority? When the child:
1. Begins to develop competence in health care decisions. 2. And parents do not agree on major treatment options. 3. Is able to understand concrete explanations. 4. Is considered to be a mature minor.
During physical examination of an ambulatory patient, the nurse finds elevated blood pressure, pulmonary crackles that do not clear with cough, jugular venous distention, liver congestion and enlargement, an S3 heart sound, and pitting edema of the
feet and lower legs. What is the most likely cause of this group of findings? A) Fluid volume deficit B) Fluid volume excess C) Hyponatremia D) Leukocytosis
A nursing student asks the nurse why multi-drug therapy is often used to treat hypertension. Which statement by the student indicates a need for further teaching?
a. "Multi-drug therapy often means that drugs may be given in lower doses." b. "Some agents are used to offset adverse effects of other agents." c. "Treatment of hypertension via different mechanisms increases success." d. "Two or more drugs will lower blood pressure more quickly."
A patient is to begin taking doxycycline to treat a rickettsial infection. Which statement by the patient indicates a need for teaching about this drug?
a. "I should consult my provider before us-ing laxatives or antacids while taking this drug." b. "I should not take a calcium supplement or consume dairy products with this drug." c. "I should take this drug with food to en-sure more complete absorption." d. "If I get diarrhea, I should stop taking the drug and let my provider know imme-diately."