ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 53 : Vitamins and Minerals Questions
Question 1 of 5
A patient is on vitamin D supplemental therapy. The nurse will monitor for which signs of toxicity during this therapy?
Correct Answer: B
Rationale: The toxic effects of vitamin D are those associated with hypercalcemia, such as weakness, fatigue, headache, anorexia, dry mouth, metallic taste, nausea, vomiting, abdominal cramps, ataxia, and bone pain. If not recognized and treated, these symptoms can progress to impairment of renal function and osteoporosis. The other options listed are not signs of vitamin D toxicity.
Question 2 of 5
The nurse is counseling a patient about calcium supplements. Which dietary information is appropriate during this teaching session?
Correct Answer: D
Rationale: Foods high in calcium include dairy products, fortified cereals, calcium-fortified orange juice, sardines, and salmon. Patients can be encouraged to add dietary sources of calcium to their diets. Oral-dosage forms of calcium need to be given 1 to 3 hours after meals. Calcium salts will bind with tetracycline and quinolone antibiotics and result in an insoluble complex.
Question 3 of 5
The nurse will prepare to give which preparation to a newborn upon arrival in the nursery after delivery?
Correct Answer: D
Rationale: Deficiency in vitamin K can be seen in newborns because of malabsorption attributed to inadequate amounts of bile. AquaMEPHYTON is given as a single intramuscular dose for infants upon arrival in the nursery.
Question 4 of 5
A patient with a history of alcohol abuse has been admitted for severe weakness and malnutrition. The nurse will prepare to administer which vitamin preparation to prevent Wernicke's encephalopathy?
Correct Answer: B
Rationale: Thiamine (vitamin B1) is necessary for the treatment of a variety of thiamine deficiencies, including Wernicke's encephalopathy. The other options are incorrect.
Question 5 of 5
Niacin is prescribed for a patient who has hyperlipidemia. The nurse checks the patient's medical history, knowing that this medication is contraindicated in which disorder?
Correct Answer: C
Rationale: Niacin, unlike certain other B-complex vitamins, has additional contraindications besides drug allergy. They include liver disease, severe hypotension, arterial hemorrhage, and active peptic ulcer disease. The other options are incorrect.