A nurse collecting data on a client who has vitamin A deficiency. Which of the following findings should the nurse expect?
Impaired vision
Swollen tongue
Constipation
Bleeding gums
The Correct Answer is A
A. Vitamin A deficiency can cause vision impairments, such as night blindness, due to its essential role in maintaining the health of the retina.
B. A swollen tongue is more commonly associated with vitamin B deficiencies, particularly riboflavin (B2) or niacin (B3).
C. Constipation is not a typical symptom of vitamin A deficiency and is more commonly linked to inadequate dietary fiber or dehydration.
D. Bleeding gums are associated with vitamin C deficiency, which impacts collagen synthesis and gum health, rather than vitamin A deficiency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Client has a BMI of 16: A BMI of 16 is classified as underweight, which suggests malnutrition. Malnutrition can weaken the immune system, making the client more vulnerable to infections. A low BMI is often associated with insufficient nutritional reserves, which are essential for immune function and tissue repair.
History of type 2 diabetes mellitus: Diabetes mellitus, especially if poorly controlled, impairs immune response. High blood sugar levels can reduce the function of white blood cells, impair wound healing, and increase the risk of infections. Clients with diabetes are more prone to infections due to both metabolic and immune system alterations.
Budesonide 6 mg PO: Budesonide is a corticosteroid, which suppresses the immune system to reduce inflammation. Immunosuppression increases the risk of infections, as the body's ability to respond to pathogens is weakened. Long-term use of corticosteroids is particularly concerning in this regard.
Client is a nonsmoker: Smoking is a known risk factor for numerous infections, including respiratory infections. However, being a nonsmoker actually reduces the risk of infection. This finding does not increase susceptibility to infection.
Hct 47%: A hematocrit of 47% is within the normal range and does not suggest any immediate concerns regarding the immune system. Adequate hematocrit levels reflect healthy red blood cell counts, which are important for oxygen delivery but do not directly affect immune function.
Correct Answer is ["B","C","E","F"]
Explanation
Rationale:
A. WBC count is important for detecting infections, however, the client’s WBC count is within the normal ranges
B. Elevated glucose levels can impair wound healing and increase the risk of infection, making it a surgical risk factor. However, the client’s glucose levels are within the normal ranges.
C. Smoking increases the risk of complications such as poor wound healing, respiratory issues, and cardiovascular stress during surgery.
D. Metformin use is not inherently a risk for surgical complications unless there are specific concerns about lactic acidosis or renal function, which are not mentioned here.
E. Prednisone, a corticosteroid, can suppress the immune system and delay wound healing, placing the client at higher risk for infection and complications.
F. Type 2 diabetes mellitus increases surgical risks due to associated conditions such as impaired glucose control, poor wound healing, and susceptibility to infections.
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