A nurse is caring for a client who follows a vegan diet. The nurse should identify that the client is at risk for which of the following deficiencies?

Folic acid

Vitamin C

Vitamin D

Magnesium

Answer and Explanation

The Correct Answer is C

A) Folic acid deficiency is not typically associated specifically with a vegan diet. While folate (the natural form of folic acid) is found in higher amounts in animal products like liver, it can also be obtained from plant-based sources such as dark leafy greens, beans, and fortified grains. Therefore, while it's essential for vegans to ensure an adequate intake of folate, deficiency is not necessarily more common in this population compared to others.

B) Vitamin C deficiency is not typically associated specifically with a vegan diet. Vitamin C is abundant in many fruits and vegetables, which are staples of a vegan diet. As long as the individual consumes a variety of fresh produce, they can usually meet their vitamin C needs.

C) Vitamin D deficiency may be more common in individuals following a vegan diet. Vitamin D is primarily found in animal products like fatty fish, liver, and fortified dairy products. While some vegan sources of vitamin D exist, such as fortified plant-based milk and mushrooms exposed to ultraviolet (UV) light, they may not provide adequate amounts for some individuals, especially those with limited sun exposure, which is another source of vitamin D synthesis.

D) Magnesium deficiency is not typically associated specifically with a vegan diet. Magnesium is found in a wide variety of foods, including nuts, seeds, whole grains, and leafy green vegetables, which are commonly consumed in a vegan diet. As long as the individual includes these foods regularly in their diet, they are unlikely to develop a magnesium deficiency solely due to being vegan.

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Correct Answer is ["2694"]

Explanation

First, we need to convert the client’s weight from pounds to kilograms because the caloric intake is prescribed in calories per kilogram.

1 lb is approximately 0.453592 kg. So, 132 lb is approximately 59.8742 kg.

Given that the client is prescribed 45 calories/kg per day, the client’s daily caloric intake should be:

Dailycaloricintake= Weight(kg)×Caloricintake(calories/kg) = 59.8742kg×45calories/kg

After performing the calculation, we find that the daily caloric intake equals 2694.339 calories/day.

So, the client’s daily caloric intake should be 2694 calories/day (rounded to the nearest whole number)

A. Replace the bag and tubing every 24 hr. B. Flush the tubing with 10 mL water every 6 hr. C. Administer the feeding by gravity drip. D. Heat the formula prior to infusion.

Correct Answer is B

Explanation

A) While it's important to change the feeding bag and tubing regularly to pr’vent bacterial growth and contamination, replacing them every 24 hours may not be necessary unless otherwise indicated by facility policy or if there are signs of contamination or malfunction. Routine replacement every 24 hours is not specifically indicated for preventing tubing clogging.

B) Flushing the tubing with water every 6 hours is an effective method to prevent clogging, especially when using a high-viscosity formula. Flushing helps ensure that the formula does not solidify or adhere to the inner walls of the tubing, maintaining its patency and preventing obstruction.

C) Administering the feeding by gravity drip is a method of delivery rather than a preventive measure against tubing clogging. While gravity drip administration may be appropriate for certain types of tube feedings, it does not directly address the prevention of tubing clogging.

D) Heating the formula prior to infusion may help improve its flow characteristics, especially if the formula has thickened due to being refrigerated. However, this action alone may not be sufficient to prevent tubing clogging. Flushing the tubing with water at regular intervals is a more direct and effective preventive measure in this scenario.

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A nurse is caring for a client who follows a vegan diet. The nurse should identify that the client is at risk for which of the following deficiencies?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is prescribed 45 calories/kg per day. The client weighs 132 lb. What should the client's daily caloric intake be? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2694"]

Explanation

A nurse is caring for a client who has a small-bore jejunostomy tube and is receiving a continuous tube feeding with a high-viscosity formula. Which of the following actions should the nurse take to prevent the tubing from clogging?

Correct Answer is B

Explanation

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