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A nurse collecting data on a client who has vitamin C deficiency.
Which of the following findings should the nurse expect?

Bleeding gums.

Impaired vision.

Swollen tongue.

Diarrhea.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Bleeding gums is a common symptom of vitamin C deficiency, also known as scurvy.

Choice B rationale:

Impaired vision is not typically associated with vitamin C deficiency.

Choice C rationale:

A swollen tongue is not a typical symptom of vitamin C deficiency.

Choice D rationale:

Diarrhea is not a common symptom of vitamin C deficiency. In fact, high doses of vitamin C can cause diarrhea.

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Correct Answer is D

Explanation

Choice A rationale:

Creating a 6 mm (1/4 in) bleb in the intradermal space of the forearm is the correct procedure for a Mantoux tuberculin skin test.

Choice B rationale:

Visualizing the tip of the needle under the skin is the correct procedure for a Mantoux tuberculin skin test.

Choice C rationale:

Stretching the skin tightly before injection is the correct procedure for a Mantoux tuberculin skin test.

Choice D rationale:

Withdrawing the needle and massaging the site gently is incorrect. Massaging the site can cause the test solution to disperse, which can affect the test results.

A. Check the client for a positive Chvostek's sign. B. Request a potassium replacement. C. Administer glucagon IM. D. Discontinue the TPN infusion.

Correct Answer is B

Explanation

Choice A rationale:

Checking for a positive Chvostek’s sign is not relevant. This sign is associated with hypocalcemia, not with the lab values provided.

Choice B rationale:

The nurse should request a potassium replacement. The normal range for potassium is 3.5-5.0 mEq/L. A level of 3.0 mEq/L is low, indicating hypokalemia.

Choice C rationale:

Administering glucagon IM is not appropriate. The glucose level is within the normal range (70-110 mg/dL), so there is no need for glucagon.

Choice D rationale:

Discontinuing the TPN infusion is not the first action. The nurse should address the abnormal lab value (low potassium) first.

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A nurse collecting data on a client who has vitamin C deficiency.Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is observing a nurse performing a Mantoux tuberculin skin test for a client.Which of the following actions should prompt the charge nurse to intervene?

Correct Answer is D

Explanation

A nurse is reviewing the laboratory values of a client who is receiving total parenteral nutrition (TPN): glucose 72 mg/dL, chloride 100 mEq/L, sodium 138 mEq/L, and potassium 3.0 mEq/L. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

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A nurse collecting data on a client who has vitamin C deficiency.
Which of the following findings should the nurse expect?