Which B vitamin deficiency is associated with cheilosis, glossitis, vascularization of the cornea, and itchy dermatitis of the scrotum and vulva?

Pyridoxine (vitamin B6)

Riboflavin (vitamin B2)

Thiamine (vitamin B1)

Niacin (nicotinic acid)

Answer and Explanation

The Correct Answer is B

A. Pyridoxine (vitamin B6): Deficiency in vitamin B6 can cause peripheral neuropathy, irritability, depression, and seizures. While glossitis may occur, the combination of cheilosis and corneal vascularization is not typical of B6 deficiency.

B. Riboflavin (vitamin B2): Riboflavin deficiency is classically associated with cheilosis, glossitis, corneal vascularization, and seborrheic dermatitis affecting areas like the scrotum and vulva. These findings are hallmark signs of ariboflavinosis.

C. Thiamine (vitamin B1): Thiamine deficiency causes beriberi and Wernicke-Korsakoff syndrome, with manifestations including neuropathy, heart failure, and confusion. It is not linked to cheilosis or corneal changes.

D. Niacin (nicotinic acid): Niacin deficiency results in pellagra, characterized by the “three Ds”: dermatitis, diarrhea, and dementia. The dermatitis is photosensitive but does not involve cheilosis or corneal vascularization.

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Free Nursing Study Resources

Correct Answer is ["A","B"]

Explanation

A. Wear a protective gown while caring for the client: C. difficile is spread by contact with spores, so gowns must be worn to prevent contamination of clothing and transmission to other patients.

B. Place the client in a private room: A private room is necessary to prevent cross-contamination since C. difficile spores can survive on surfaces for long periods. Cohorting is an option only if private rooms are unavailable.

C. Wear an N-95 respirator while caring for the client: An N-95 respirator is not needed because C. difficile is not airborne. Standard surgical masks are not routinely required unless there is a risk of splashes.

D. Place the client in a negative pressure room: Negative pressure rooms are reserved for airborne pathogens like TB or measles. C. difficile requires contact precautions, not airborne isolation.

E. Place a mask on the client when they leave their room: Since C. difficile is transmitted via contact and does not spread through the air, a mask is not needed for the client when they leave their room for essential procedures.

A. Ask the patient to share the teaching with a neighbor or friend soon after discharge. B. Give the patient detailed written information about each drug. C. Cluster medication administration times as much as possible. D. Make sure the patient understands the actions and side effects of each drug.

Correct Answer is C

Explanation

A. Ask the patient to share the teaching with a neighbor or friend soon after discharge: While social support can reinforce learning, relying on a neighbor or friend may not guarantee medication adherence. This does not directly address the patient’s forgetfulness or simplify the regimen.

B. Give the patient detailed written information about each drug: Providing written information is helpful, but detailed instructions may overwhelm a forgetful older adult. Without strategies to simplify administration, written material alone is unlikely to ensure adherence.

C. Cluster medication administration times as much as possible: Simplifying the regimen by reducing the number of administration times makes it easier for a forgetful patient to follow. Fewer scheduled doses support adherence and reduce the risk of missed medications.

D. Make sure the patient understands the actions and side effects of each drug: Understanding medications is important, but a forgetful patient may struggle with recall. While teaching remains necessary, simplifying the schedule is more effective in promoting adherence.

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Which B vitamin deficiency is associated with cheilosis, glossitis, vascularization of the cornea, and itchy dermatitis of the scrotum and vulva?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client. Exhibits A nurse is caring for the client. Which of the following actions should the nurse take? Select all that apply.

Correct Answer is ["A","B"]

Explanation

A nurse is preparing to teach a forgetful older adult patient about a multiple drug regimen to follow after discharge from the hospital. To help promote adherence, what will the nurse do?

Correct Answer is C

Explanation

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