A nurse is teaching an adolescent client who is trying to conceive. Which of the following should the nurse identify as a primary intervention to prevent neural tube defects?
Calcium
Iron
Zinc
Folate
The Correct Answer is D
A. Calcium is essential for bone health but does not directly prevent neural tube defects.
B. Iron is important for preventing anemia but is not specifically linked to the prevention of neural tube defects.
C. Zinc plays a role in reproductive health but is not specifically related to preventing neural tube defects.
D. Folate (also known as folic acid) is critical for preventing neural tube defects, such as spina bifida, during early pregnancy. It is recommended that women trying to conceive take folic acid supplements before conception and during the first trimester.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hemoglobin and hematocrit are important but not the focus in Alzheimer’s care unless anemia is suspected.
B. Liver function tests are not typically monitored unless the client is on hepatotoxic medications.
C. Kidney function tests are essential if there are concerns about hydration or medication clearance but are not routine in Alzheimer's care.
D. Monitoring serum sodium and potassium is critical as imbalances can lead to confusion, agitation, and worsening cognitive symptoms.
Correct Answer is C
Explanation
A. Ranitidine: An H2 receptor blocker, typically used to reduce stomach acid, is unnecessary since the stomach has been removed.
B. Vitamin K: Although important for clotting, vitamin K absorption is not significantly affected by total gastrectomy.
C. Vitamin B12: Clients require lifelong vitamin B12 supplementation (usually via intramuscular injections) after total gastrectomy to prevent deficiency and associated complications such as anemia and neurological impairments.
D. Metoclopramide: A prokinetic agent used to enhance gastric motility, which is not relevant after total gastrectomy.
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