A nurse is caring for four clients. The nurse should observe which of the following clients for a risk of vitamin B deficiency.
A client who has chronic alcohol use disorder
A client who has cystic fibrosis
A client who takes phenytoin for a seizure disorder
A client who is prescribed rifampin for tuberculosis
The Correct Answer is A
A. Chronic alcohol use can impair the absorption and utilization of several vitamins, including B vitamins, leading to deficiencies.
B. Cystic fibrosis primarily affects the digestive system but is not directly associated with vitamin B deficiencies.
C. Phenytoin, an antiseizure medication, may interfere with vitamin D metabolism but is not strongly associated with vitamin B deficiencies.
D. Rifampin, an antibiotic used for tuberculosis, may interfere with the absorption of some nutrients, but it's not a primary concern for causing vitamin B deficiencies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The duodenum is the first part of the small intestine but is not the primary site for vitamin B12 absorption. It's primarily absorbed in the lower part of the small intestine called the ileum.
B. While the stomach plays a role in releasing intrinsic factor that aids in B12 absorption, the actual absorption occurs in the small intestine, particularly the ileum.
C. Vitamin B12 absorption primarily occurs in the lower part of the small intestine, facilitated by intrinsic factors.
D. The large intestine is mainly responsible for water absorption and electrolyte balance, not vitamin B12 absorption.
Correct Answer is C
Explanation
A. The director of nurses may oversee the nursing staff but might not directly verify orders.
B. While the LPN/LVN may have specific responsibilities, verifying orders typically falls under the role of an RN with administrative responsibilities.
C. An administrative RN often verifies or reviews newly transcribed orders for accuracy and compliance with facility policies.
D. The unit secretary might assist with clerical tasks, but verifying orders is usually within the nursing scope.
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