A nurse is caring for a patient who recently immigrated from a Third World country. The patient is thin and appears malnourished. The nurse notes that the patient has loose and missing teeth, gingivitis, and bleeding gums

The patient has multiple sores and ecchymoses. The nurse will expect the provider to order:
a. cyanocobalamin (vitamin B12).
b. high-dose nicotinic acid.
c. intramuscular thiamin for 1 to 2 weeks.
d. intravenous ascorbic acid.


ANS: D
This patient has scurvy with acute, severe symptoms and needs intravenous vitamin C. The patient does not have signs of vitamin B12 deficiency, niacin deficiency, or thiamin deficiency.

Nursing

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