A nurse is doing prenatal counseling with a client and is asked about the importance of folic acid (B9) during pregnancy. Based on the nurse's knowledge, what should be the nurse's response?

Folic acid is known to lower blood glucose in diabetic patients

Folic acid prevents neural tube defects in the developing fetus

Folic acid in the gastrointestinal system prevents celiac disease

Folic acid will prevent migraine headaches in pregnant women

Answer and Explanation

The Correct Answer is B

A. Folic acid does not specifically lower blood glucose; rather, it is primarily involved in DNA synthesis and cell division.
B. Folic acid is essential during pregnancy as it significantly reduces the risk of neural tube defects, such as spina bifida and anencephaly, in the developing fetus, making it a critical nutrient for pregnant women.
C. Folic acid does not prevent celiac disease; rather, celiac disease is an autoimmune disorder related to gluten intake.
D. While some studies suggest that folic acid may have a role in reducing the frequency of migraines, it is not a primary indication during pregnancy.

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Correct Answer is B

Explanation

A. Cherries do not contain tyramine, which is the compound of concern for clients on MAOIs, so they can be included in the diet.
B. Cheddar cheese is high in tyramine, which can lead to hypertensive crises when consumed by clients taking MAOIs. Therefore, it should be eliminated from the diet.
C. Chicken is generally safe for clients on MAOIs as it does not contain significant amounts of tyramine.
D. Fresh fish is also safe to consume while on MAOIs as long as it is fresh and not aged, fermented, or spoiled, which could contain higher tyramine levels.

A. "This medication is addictive, so you will need to discontinue it in six months." B. "Your provider may prescribe a diuretic if you have trouble urinating while taking lithium." C. "We will monitor your lithium levels closely while you are taking this medication." D. "Weight gain should be reported to your provider as an indication of lithium toxicity."

Correct Answer is C

Explanation

A. Lithium is not considered addictive in the traditional sense, and it does not need to be discontinued after six months unless clinically indicated.
B. Diuretics are generally avoided in patients taking lithium due to the risk of lithium toxicity from altered renal clearance, rather than being a routine prescription for difficulty urinating.
C. Close monitoring of lithium levels is crucial to avoid toxicity and ensure therapeutic efficacy, making this statement correct and essential for the patient’s education.
D. While weight gain can occur with lithium therapy, it is not an indicator of lithium toxicity; symptoms of toxicity include nausea, tremors, and confusion rather than weight gain.

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A nurse is doing prenatal counseling with a client and is asked about the importance of folic acid (B9) during pregnancy. Based on the nurse's knowledge, what should be the nurse's response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is modifying the diet of a client prescribed an MAOI. Which of the following foods should the nurse eliminate?

Correct Answer is B

Explanation

A nurse is teaching a client who has bipolar disorder about lithium. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

A client is receiving Total Parenteral Nutrition (TPN) while admitted in the inpatient setting. Which of the following conditions can occur if the nurse abruptly stops TPN?

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