A nurse is caring for a client who follows a vegan diet. The nurse should identify that the client is at risk for which of the following deficiencies?
Vitamin C
Vitamin D
Magnesium
Folic acid
The Correct Answer is B
The nurse should identify that the client who follows a vegan diet is at risk for deficiencies in Vitamin D, Vitamin B12, and potentially Calcium.
1. Vitamin D: Vitamin D is primarily obtained from sunlight exposure and is also found in animal-based foods such as fatty fish, liver, and egg yolks. Since a vegan diet excludes animal products, it can be challenging to obtain sufficient Vitamin D. Vegans should consider fortified foods (e.g., plant-based milk, breakfast cereals) and may require Vitamin D supplements.
2. Vitamin B12: Vitamin B12 is naturally found only in animal products, such as meat, fish, dairy, and eggs. Vegans are at a high risk of Vitamin B12 deficiency because
plant-based foods do not provide adequate amounts. Vegans should consider taking Vitamin B12 supplements or consuming foods fortified with Vitamin B12, such as certain plant-based milk, meat substitutes, and breakfast cereals.
3. Calcium: Calcium is essential for bone health. While it is possible to obtain calcium from plant-based sources such as fortified plant milk, tofu, leafy green vegetables, and fortified juices, vegan diets may be lower in calcium compared to diets that include dairy products. Vegans should pay attention to their calcium intake and consider supplements if needed.
Regarding the options listed in the question, Vitamin C, Magnesium, and Folic Acid deficiencies are not directly associated with a vegan diet. These nutrients can be adequately obtained from a well-planned vegan diet that includes a variety of fruits, vegetables, whole grains, legumes, nuts, and seeds.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
"Eat protein at each meal": This is an important instruction for a client with dumping syndrome. Including protein at each meal can help slow down the digestion process and reduce the rapid emptying of the stomach contents into the small intestine, which is characteristic of dumping syndrome. Protein takes longer to digest and can help stabilize blood sugar levels, promote satiety, and minimize the symptoms of dumping syndrome.
"Consume three large meals daily": Consuming three large meals daily is not recommended for clients with dumping syndrome. Large meals can exacerbate the symptoms by overloading the digestive system. Instead, it is generally advised to consume smaller, more frequent meals throughout the day to help manage dumping syndrome symptoms.
"Drink beverages with meals": It is not recommended to drink beverages with meals for clients with dumping syndrome. Consuming liquids with meals can further contribute to the rapid emptying of the stomach contents and worsen symptoms. It is preferable to drink fluids between meals to maintain hydration without affecting the digestion process.
"Sit up in bed after meals": This instruction is relevant for clients with gastroesophageal reflux disease (GERD) but may not be specifically related to dumping syndrome. In the case of dumping syndrome, it is generally recommended to remain in an upright position after meals to aid digestion and reduce symptoms, such as bloating, cramping, and diarrhea.
Correct Answer is B
Explanation
Corn: Corn is a gluten-free grain and can be included in a gluten-free diet for individuals with celiac disease.
Wheat germ: Wheat germ is derived from wheat and contains gluten. Therefore, it should be avoided by individuals with celiac disease.
Salami: Salami is a processed meat product that may contain gluten-containing additives or fillers. Therefore, it is important for individuals with celiac disease to carefully read the ingredient labels of processed meat products or opt for certified gluten-free alternatives.
Barley: Barley is a gluten-containing grain and should be strictly avoided by individuals with celiac disease.
It is important for individuals with celiac disease to carefully read food labels and select gluten-free alternatives. Gluten-containing grains and their derivatives, such as wheat, barley, and wheat germ, should be avoided. Safe alternatives, such as corn, rice, quinoa, and Gluten-free oats, can be included in the diet.
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