A nurse is reinforcing discharge teaching with a client who has acute pancreatitis and a prescription for fat-soluble vitamin supplements.
Which of the following supplements should the nurse include in the teaching?

Vitamin A.

Vitamin C.

Vitamin B12.

Vitamin B.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Vitamin A is a fat-soluble vitamin. Clients with acute pancreatitis often have difficulty absorbing fat, including fat-soluble vitamins, so supplementation may be necessary.

Choice B rationale:

Vitamin C is a water-soluble vitamin, not a fat-soluble vitamin.

Choice C rationale:

Vitamin B12 is a water-soluble vitamin, not a fat-soluble vitamin.

Choice D rationale:

Vitamin B is a water-soluble vitamin, not a fat-soluble vitamin.

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Correct Answer is B

Explanation

Choice A rationale:

Checking for a positive Chvostek’s sign is not relevant. This sign is associated with hypocalcemia, not with the lab values provided.

Choice B rationale:

The nurse should request a potassium replacement. The normal range for potassium is 3.5-5.0 mEq/L. A level of 3.0 mEq/L is low, indicating hypokalemia.

Choice C rationale:

Administering glucagon IM is not appropriate. The glucose level is within the normal range (70-110 mg/dL), so there is no need for glucagon.

Choice D rationale:

Discontinuing the TPN infusion is not the first action. The nurse should address the abnormal lab value (low potassium) first.

A. Hyperventilation. B. Diarrhea. C. Salicylate intoxication. D. Vomiting.

Correct Answer is B

Explanation

Choice A rationale:

Hyperventilation is a compensatory mechanism for metabolic acidosis, not a cause. It helps to eliminate carbon dioxide, a weak acid, to balance the pH.

Choice B rationale:

Diarrhea causes loss of bicarbonate, a base, from the body. This can lead to metabolic acidosis as there is an excess of acids.

Choice C rationale:

Salicylate intoxication can cause both respiratory alkalosis and metabolic acidosis. However, it is not the most common cause of metabolic acidosis.

Choice D rationale:

Vomiting leads to loss of gastric acid, a strong acid. This usually results in metabolic alkalosis, not acidosis.

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A nurse is reinforcing discharge teaching with a client who has acute pancreatitis and a prescription for fat-soluble vitamin supplements.Which of the following supplements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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A nurse is reinforcing discharge teaching with a client who has acute pancreatitis and a prescription for fat-soluble vitamin supplements.
Which of the following supplements should the nurse include in the teaching?