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 A
Explanation
Choice A rationale:
Tachycardia, or a rapid heart rate, is a common early sign of hypovolemic shock as the body tries to compensate for the decreased blood volume by increasing the heart rate.
Choice B rationale:
Diminished urine output is a sign of hypovolemic shock, but it is not typically an early sign.
Choice C rationale:
Cold, clammy skin is a sign of hypovolemic shock, but it is not typically an early sign.
Choice D rationale:
Unconsciousness is a late sign of hypovolemic shock, indicating severe blood loss and inadequate perfusion to the brain.
Correct Answer is B
Explanation
Choice A rationale:
Metabolic alkalosis is incorrect because it would present with a high pH and high HCO3. This client’s pH is low, indicating acidosis, not alkalosis.
Choice B rationale:
Respiratory acidosis is correct. It is characterized by a low pH and high PaCO2, as seen in this client’s results. This condition occurs when the lungs can’t remove enough CO2, causing it to build up in the blood and lower the pH.
Choice C rationale:
Metabolic acidosis is incorrect because it would present with a low pH and low HCO3. This client’s HCO3 is normal.
Choice D rationale:
Respiratory alkalosis is incorrect because it would present with a high pH and low PaCO2. This client’s pH is low and PaCO2 is high.
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