A client who had a biliopancreatic diversion about one year ago demonstrates an attitude change. After learning that the client stopped taking prescribed vitamin and mineral supplements, which problem should the nurse suspect that this client is experiencing?
a. Vitamin B3 deficiency that resulted in pellagra
b. Vitamin B6 deficiency that resulted in increased stress
c. Vitamin D deficiency that results in bone demineralization
d. Vitamin C deficiency that resulted in wet beri beri
a. Vitamin B3 deficiency that resulted in pellagra
Restrictive surgery can decrease absorption of vitamins and minerals in the diet including niacin, the cause of pellagra. Although vitamins B6, D, and C are essential components of a balanced nutritional intake, deficiencies will not result in changes of the client's emotional status.
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A diagnosis of rheumatic fever is being ruled out for a child. The nurse teaches the parents that the lab test to check for a recent streptococcal infection is:
1. Throat culture. 2. Antistreptolysin-O (ASLO) titer. 3. Erythrocyte sedimentation rate. 4. C-reactive protein.
A 16-year-old boy is brought to the emergency department with a head injury. The nurse knows that adolescents are vulnerable to injuries related to which of the following?
A) Falls from beds B) Automobile accidents C) Play-related injuries D) Falls from staircases
The occupational health nurse is biomonitoring workers for exposure to chemicals in the workplace. When should the nurse obtain blood and urine samples?
A) At the beginning of the work shift B) In the middle of the work shift C) At the end of the work shift D) During the pre-employment physical
When the nurse assesses reddened heels on the bed-bound stroke patient, the nurse modifies the care plan to include which intervention?
a. Massage heels briskly. b. Apply socks to feet. c. Swab heels with alcohol. d. Elevate feet on pillows.