When interviewing a 68-year-old male client, the nurse discovers a list of 23 herbal and vitamin supplements that are being consumed by the client each day
Which response by the client indicates the need for further nutritional teaching by the nurse at this visit? 1. "I have been taking all of them for over 20 years now."
2. "My doctor in my old town recommended most of them."
3. "My wife also takes the same things."
4. "I know that I do not eat right all of the time, so they will keep me healthy."
4
Rationale 1: "I have been taking all of them for over 20 years now." The length of time the client has been taking a potentially excessive level of vitamin supplements is not the greatest concern. The larger concern is the potential belief that they will protect him from illness by offsetting nutritional deficits. The age of the client will increse the potential dangers of this practice as the older adult body may change how the supplements affect the body.
Rationale 2: "My doctor in my old town recommended most of them." The current physican of record will need notification to review the medications being taken. They may impact currently prescribed medications.
Rationale 3: "My wife also takes the same things." The health of the spouse may be impacted by oversupplementation but the greatest current concern is the potential risks being faced by the client in the scenario.
Rationale 4: "I know that I do not eat right all of the time, so they will keep me healthy." Dietary intake is the best means to meet nutritional requirements. Oversupplementation may present health-related concerns.
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