A 24-year-old (young adult) client visits the healthcare provider office for a routine yearly gynecological exam. The nurse is providing education to the client. The client asks for an explanation of why the nurse recommended that she take a multivitamin that contains folic acid. The nurse's best response would be:

1. "If you become pregnant, you will already be taking folic acid."
2. "Everyone should take vitamin supplements."
3. "Folic acid can help with your chances of getting pregnant."
4. "Most people do not get enough folic acid."


1
Rationale 1: "If you become pregnant, you will already be taking folic acid." The client in the scenario is of childbearing age. Folic acid is essential for all women of childbearing potential. It is important for a healthy outcome of a pregnancy. Some women are not aware of being pregnant at first and are not already taking folic acid. By suggesting a supplement, it will already be present in the body if the woman becomes pregnant.
Rationale 2: "Everyone should take vitamin supplements." Not everyone needs vitamin supplements or have low folic acid levels if their dietary intake is balanced and appropriate.
Rationale 3: "Folic acid can help with your chances of getting pregnant." Folic acid is a vitamin. Not everyone needs vitamin supplements or have low folic acid levels if their dietary intake is balanced and appropriate.
Rationale 4: "Most people do not get enough folic acid." Not everyone needs vitamin supplements or have low folic acid levels if their dietary intake is balanced and appropriate.

Nursing

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An older patient is being abused by family members in the home and asks about adult protective services. What should the nurse explain about these services?

1. They punish persons who abuse the elderly. 2. They provide services to protect older people who may be abused or neglected. 3. They provide a way to permanently keep the older patient separated from the abuser. 4. They place older patients who cannot adequately care for themselves in nursing homes.

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A client has been admitted with possible aspirin overdose. Which finding should the nurse be alert for in this client?

1. Metabolic alkalosis 2. Respiratory acidosis 3. Hypoventilation 4. Tinnitus

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An example of a stress buffer would be:

a. taking antacids the day of a big examination. b. cramming for an examination with friends the night before a test. c. agreeing to work more hours a few days before a big test to ease your money problems. d. exercising with friends for 45 minutes the day before a big test.

Nursing