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 A
Explanation
A. Checking the Medication Administration Record (MAR) or electronic MAR (eMAR) is a priority to ensure continuity of care and administer medications as prescribed in a timely manner.
B. Reviewing the orders is important but may not be the immediate priority compared to ensuring the patient's medication needs are addressed.
C. Documenting the transfer in the medical record is essential but may be done after the initial assessment and administration of necessary medications.
D. Performing a head-to-toe assessment is important but typically comes after addressing immediate needs such as medication administration, especially if the patient has specific medication schedules.
Correct Answer is B
Explanation
A. Waist circumference is useful for assessing abdominal obesity but is not the primary factor in calculating BMI.
B. BMI is calculated using the client's height and weight to estimate body fat and assess potential health risks associated with weight.
C. Daily calorie intake is relevant for dietary assessment but is not used in the calculation of BMI.
D. Skinfold thickness measurement is a method for assessing body fat percentage but is not used in the standard BMI calculation.
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