A client tells the nurse "Take a look at the bruises on my arms and legs. I take a multivitamin tablet
daily and no other medicine. The bruises started about a week after I began taking some nutritional
supplements from the health food store.
". The nurse should focus assessment questions on the
client's use of supplements containing
a. vitamin A.
b. vitamin B.
c. vitamin C.
d. vitamin E.
D
Vitamin E has anticoagulant properties. Generally, a multiple vitamin tablet contains the minimum
daily requirement of each vitamin. Taking nutritional supplements containing additional vitamin E
would qualify as megadosing. Megadosing has the potential for causing bruising and hemorrhage.
Option A: Vitamin A megadoses produces nausea, vomiting, blurred vision, and lack of muscle
coordination. Option B: Vitamin B megadoses do not produce anticoagulant effects. Option C:
Vitamin C megadoses may produce kidney stones.
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The nurse is preparing a client for an ultrasound of the abdomen. What statement by the client indicates a need for further teaching?
A. "I will need to consume extra liquids." B. "I will empty my bladder completely before the test." C. "I will lie on my back during the test." D. "I will lie still during the test."
Your client, whose husband died 3 years ago, is unaware that the traditional period of mourning has ended, nor does she recognize the ongoing disruption in her life. What type of dysfunctional grief is she experiencing?
1. chronic 2. delayed 3. exaggerated 4. masked
A nurse is assessing a client for signs of decreased kidney function. Which of the following are symptoms of possible decreased kidney function? (Select all that apply.)
1. Increased appetite 2. Metallic taste in the mouth 3. Pruritus 4. Reduced energy level 5. Urine output of 240 mL in 8 hours 6. Weight gain
Where are atheromatous plaques most commonly found?
a. In larger veins b. Near capillary sphincters c. At branches of arteries d. On the venous sinuses