A client states she has taken megadoses of vitamin E for 3 months to improve her circulation but
thinks she feels somewhat worse. The priority action for the nurse should be to
a. assess the client for symptoms and signs of hypervitaminosis E: headaches,
fatigue, blurred vision, and thrombophlebitis.
b. remind the client that the Food and Drug Administration has not evaluated
vitamin E as preventive or curative of any disease.
c. formulate the outcome that the client will use a reliable resource to investigate
megadosing before her next visit.
d. evaluate the effectiveness of the vitamin by performing ultrasound examination of
the legs and a mental status examination.
A
Megadoses of any vitamin taken over long periods may produce untoward side effects. The priority
for the nurse is to assess for problems associated with megadosage and urge caution in continuing
the practice. Option B and C are not as viable alternatives as option A. Option D: Ordering an
ultrasound examination is not within the limits of the nurse's license.
You might also like to view...
The patient is experiencing severe chest pain after a stressful incident at work. On the 12-lead ECG, the nurse notices ST segment depression in the anterior leads that resolves as the patient's pain resolves
What is the most appropriate nursing action? A) Send the patient home, since the symptoms have resolved. B) Implement a risk reduction teaching plan. C) Schedule the patient for immediate further diagnostic tests. D) Refer the patient for psychological evaluation and treatment.
A nursing student asks the nurse why the provider has ordered a combination product containing an opioid analgesic and an NSAID for a patient who has cancer. Which response by the nurse is correct?
a. "There are decreased effects of NSAIDs on the GI tract when a combination prod-uct is used." b. "There are fewer adverse effects from both drugs when used in a combination product." c. "There is a decreased likelihood of opioid dependence when it is given in combina-tion with an NSAID." d. "There is increased pain relief with the combination than when either product is used alone."
Percutaneous umbilical cord sampling (PUBS), also called cordocentesis, involves the aspiration of fetal blood from the umbilical cord for prenatal diagnosis or therapy. Major indications include (select all that apply)
a. Rh disease b. Fetal well-being c. Infection d. Lung maturity e. Karyotyping
What pertinent laboratory values and measurements would you expect the physician to order and the results of which you will monitor?
Explain the reason for each test.