A nurse is reviewing the health history of a client diagnosed with folic acid deficiency. Which finding likely indicates the cause of the client's condition?
Eating red meat daily
Taking iron supplements twice daily
Drinking six alcoholic beverages per day
History of hypertension managed with ACE inhibitors
The Correct Answer is C
Choice A reason: Red meat is a source of iron and vitamin B12, but not a significant source of folate. However, it does not contribute to folic acid deficiency.
Choice B reason: Iron supplements do not interfere with folate metabolism. They are used to treat iron-deficiency anemia and are unrelated to folate deficiency.
Choice C reason: Excessive alcohol intake impairs folate absorption and metabolism, making it a common cause of folic acid deficiency. Alcohol also affects dietary intake and liver function, compounding the deficiency.
Choice D reason: ACE inhibitors are not known to directly cause folic acid deficiency. They are primarily used for blood pressure and heart failure management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Bile analysis is not used to diagnose pancreatitis. It may be relevant in evaluating gallbladder or liver function.
Choice B reason: Serum calcium may be low in severe pancreatitis due to fat necrosis, but it is not diagnostic.
Choice C reason: Serum amylase can be elevated in pancreatitis but is less specific than lipase and may be elevated in other conditions.
Choice D reason: Serum lipase is the most specific and sensitive marker for acute pancreatitis. Elevated levels confirm pancreatic inflammation.
Correct Answer is D
Explanation
Choice A reason: CAD affects coronary circulation and presents with chest pain or dyspnea, not leg pain with exertion. It is not the most relevant diagnosis for this presentation.
Choice B reason: An arterial embolus causes sudden, severe pain and loss of perfusion, not gradual exertional pain relieved by rest. The client’s symptoms suggest chronic ischemia.
Choice C reason: Raynaud’s disease involves episodic vasospasm of the fingers and toes, typically triggered by cold or stress. It does not cause exertional leg pain or hair loss.
Choice D reason: PAD is characterized by intermittent claudication—pain during walking relieved by rest—and trophic skin changes like hair loss and shininess. These findings strongly support PAD.
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