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 D.
Magnesium.
Vitamin C.
The Correct Answer is B
Choice A rationale:
The nurse should identify that a client following a vegan diet is at risk for a folic acid deficiency. Folate, or folic acid, is a B vitamin found in various foods, including animal products. Since vegans exclude animal products from their diet, they might have a lower intake of folic acid-rich foods. Folic acid is important for cell division and the formation of DNA, making it essential for overall health.
Choice B rationale:
The nurse should also identify that a client following a vegan diet is at risk for a vitamin D deficiency. Vitamin D is primarily obtained through exposure to sunlight and is also found in certain animal-based foods. Since vegans avoid animal products, they might not get enough vitamin D from their diet. Vitamin D is important for bone health, immune function, and various other physiological processes.
Choice C rationale:
The risk of a magnesium deficiency is not specific to a vegan diet. While certain plant-based foods contain magnesium, it's not a common deficiency associated solely with vegan diets. Magnesium is involved in many bodily functions, including muscle and nerve function, but deficiencies are more often related to factors other than diet.
Choice D rationale:
Vitamin C deficiency is not a significant concern for individuals following a vegan diet. Vitamin C is abundantly available in various fruits and vegetables, which are staples of a vegan diet. As long as a vegan diet includes a variety of fresh produce, meeting the requirements for vitamin C is generally achievable.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is Choice B: Eggs.
Choice B rationale: Most influenza vaccines are manufactured using egg-based technology and contain trace amounts of egg proteins, such as ovalbumin. Individuals with egg allergies may potentially experience allergic reactions to these proteins. While current guidelines recommend that individuals with egg allergies can still receive the inactivated influenza vaccine under the supervision of a healthcare provider, it is crucial to screen for egg allergies to ensure appropriate precautions are taken during vaccine administration.
Choice A rationale: Although shellfish allergies can cause severe reactions in some individuals, they are not specifically associated with the production or components of the inactivated influenza vaccine. Therefore, inquiring about shellfish allergies would not directly help determine the risk of an adverse reaction to the influenza vaccine.
Choice C rationale: Citrus fruit allergies are not directly related to the components or production methods of the inactivated influenza vaccine. While it is essential to be aware of a patient's allergy history, asking about citrus fruit allergies would not be the most relevant question in this context.
Choice D rationale: Gelatin allergies may be relevant in the administration of certain vaccines, as some contain gelatin as a stabilizer. However, the primary allergenic component of concern in the inactivated influenza vaccine is egg protein, not gelatin. Therefore, asking about gelatin allergies would not be the priority when assessing potential allergic reactions to the influenza vaccine.
Correct Answer is B
Explanation
Choice A rationale:
Serving foods while still at a hot temperature (Choice A) is not an appropriate intervention for a client with stomatitis following radiation therapy. Stomatitis can cause inflammation and soreness in the mouth, and hot foods can further irritate the sensitive tissues, leading to increased discomfort and potential injury.
Choice B rationale:
Serving foods without sauces or gravies (Choice B) is the correct choice. Stomatitis often causes pain and discomfort in the mouth, and spicy or acidic foods, as well as those with sauces or gravies, can exacerbate this discomfort. Providing plain and bland foods can help reduce irritation and promote healing in sensitive oral tissues.
Choice Crationale:
Instructing the client to drink liquids without a straw (Choice C) is not a direct intervention for stomatitis. It's more commonly recommended for clients who have undergone oral surgery to prevent dislodging of blood clots. While it's generally a good practice for oral health, it might not significantly impact the discomfort caused by stomatitis.
Choice Drationale:
Offering mouth rinses with normal saline and water (Choice D) is generally a good practice for maintaining oral hygiene, but it might not be the most appropriate intervention for a client with stomatitis following radiation therapy. While rinsing can help keep the mouth clean, it might cause discomfort in the presence of stomatitis due to the potential for mechanical irritation.
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