A nurse is providing discharge teaching for a client who has acute pancreatitis and has a prescription for fat-soluble vitamin supplements. The nurse should instruct the client to take a supplement for which of the following?

Vitamin B1

Vitamin B12

Vitamin C

Vitamin A

Answer and Explanation

The Correct Answer is D

A. Vitamin B1 (thiamine) is a water-soluble vitamin.
B. Vitamin B12 is a water-soluble vitamin.
C. Vitamin C is a water-soluble vitamin.
D. Vitamin A is a fat-soluble vitamin, along with vitamins D, E, and K. Clients with pancreatitis may have difficulty absorbing fat-soluble vitamins due to impaired pancreatic function.

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Correct Answer is D

Explanation

A. Fresh-frozen plasma can be administered via peripheral access.
B. Dextrose 10% in water can typically be administered via peripheral access.
C. 0.9% sodium chloride (normal saline) can be administered via peripheral access.
D. Parenteral nutrition formula, particularly if it is hyperosmolar, often requires central venous access due to the high concentration of glucose and nutrients, which can irritate peripheral veins and require a more stable infusion rate.

A. Inform the client that this drug combination is most effective if the ginkgo biloba is taken twice daily. B. Inform the client that memory problems following valve replacement surgery are common, but temporary. C. Instruct the client that ginkgo biloba interacts with anticoagulant drugs and then check for bruising or bleeding. D. Instruct the client to keep a record of episodes of forgetfulness or memory disturbances to monitor effectiveness.

Correct Answer is C

Explanation

A. Advising a specific dosing regimen for ginkgo biloba without addressing safety concerns is not appropriate.
B. While memory problems may occur post-surgery, addressing the interaction between ginkgo biloba and warfarin is more urgent.
C. Ginkgo biloba can interact with anticoagulant drugs like warfarin, increasing the risk of bleeding. The nurse should instruct the client about this interaction and check for signs of bruising or bleeding.
D. Keeping a record of memory disturbances does not address the immediate safety concern of the interaction between ginkgo biloba and warfarin.

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A nurse is providing discharge teaching for a client who has acute pancreatitis and has a prescription for fat-soluble vitamin supplements. The nurse should instruct the client to take a supplement for which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which fluid or product to be infused requires a central venous access rather than a peripheral access?

Correct Answer is D

Explanation

A client with an aortic valve replacement is taking a daily dose of warfarin to prevent clot formation. The client states that he is also taking ginkgo biloba to Improve his memory and concentration. What would be the nurse's best response?

Correct Answer is C

Explanation

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