A nurse is reinforcing discharge teaching with a client who has acute pancreatitis and a prescription for fat-soluble vitamin supplements.
Which of the following supplements should the nurse include in the teaching?
Vitamin A.
Vitamin C.
Vitamin B12.
Vitamin B.
The Correct Answer is A
Choice A rationale:
Vitamin A is a fat-soluble vitamin. Clients with acute pancreatitis often have difficulty absorbing fat, including fat-soluble vitamins, so supplementation may be necessary.
Choice B rationale:
Vitamin C is a water-soluble vitamin, not a fat-soluble vitamin.
Choice C rationale:
Vitamin B12 is a water-soluble vitamin, not a fat-soluble vitamin.
Choice D rationale:
Vitamin B is a water-soluble vitamin, not a fat-soluble vitamin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Checking for a positive Chvostek’s sign is not relevant. This sign is associated with hypocalcemia, not with the lab values provided.
Choice B rationale:
The nurse should request a potassium replacement. The normal range for potassium is 3.5-5.0 mEq/L. A level of 3.0 mEq/L is low, indicating hypokalemia.
Choice C rationale:
Administering glucagon IM is not appropriate. The glucose level is within the normal range (70-110 mg/dL), so there is no need for glucagon.
Choice D rationale:
Discontinuing the TPN infusion is not the first action. The nurse should address the abnormal lab value (low potassium) first.
Correct Answer is B
Explanation
Choice A rationale:
Placing the client in a modified Trendelenburg position is not the first action to take when managing a heavily bleeding wound.
Choice B rationale:
Applying direct pressure to the wound is the first action to take to control bleeding.
Choice C rationale:
Elevating the extremity can help control bleeding, but it is not the first action to take.
Choice D rationale:
Applying a tourniquet is a last resort when other methods of controlling bleeding have failed.
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