After a health interview the nurse is concerned that a patient might develop vitamin D deficiency. What information did the nurse use to come to this conclusion?

a. Spends 1 hour each day outside in the sun
b. Uses emollient lotion on skin after bathing
c. Spends no time at all out of doors in the sun
d. Restricts the intake of caffeinated beverages


ANS: C
One function of the skin is the formation of vitamin D from cholesterol when the skin is exposed to the UV rays of the sun. Having no sun exposure can increase this patient's risk of developing a vitamin D deficiency. A. Spending time in the sun reduces this patient's risk of a vitamin D deficiency. B. D. Use of emollients and restricting caffeine will not adversely affect the patient's vitamin D level.

Nursing

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The nurse is preparing to give a patient a complete bed bath. What area of the body should be bathed first?

a. Hands b. Eyes c. Face d. Arms

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How would the nurse examining a patient with pleurisy document a low-pitched grating lung sound?

a. Sonorous wheeze b. Friction rub c. Coarse crackles d. Crackles

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A candidate's resume demonstrates a perfect fit for a position, but one glance showed the candidate was wheelchair bound. Which of the following suggestions should the nurse make to the employer?

a. Be as polite as possible, but point out how difficult it would be to fulfill job responsibilities while confined to a wheelchair b. Be sure that another candidate is more qualified and "fits more closely with our company goals" c. Employ the candidate and rearrange the work area for easy access and exit for someone in a wheelchair d. Point out that other employees would probably not be kind to someone in a wheelchair who is unable to join in many of the physical recreational activities

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A confused patient is admitted to the hospital after suffering a fall. When asked about pain, the patient does not respond. What action by the nurse is best?

a. Ask the patient again using different words. b. Pantomime what you are asking the pa-tient. c. Observe the patient's nonverbal behaviors. d. Ask the family members if they think the patient has pain.

Nursing