Nokea
A client who is taking Coumadin tells the nurse that she has started taking a vitamin E supplement as she has heard that this will help decrease the likelihood of her developing cancer. Which of the following would be the most appropriate response by the nurse?
- A. “Vitamin E supplements are unnecessary, so I don’t recommend you use this supplement.”
- B. “Vitamin E can interfere with the actions of vitamin K and enhance the effects of Coumadin.”
- C. “Vitamin E supplements can interfere with the absorption of iron and create additional health problems.”
- D. “Vitamin E must be used cautiously, as it is easy to experience a toxicity of this nutrient.”
Correct Answer: B
Rationale: Vitamin E can interact with Coumadin and affect clotting, which is a concern for individuals on blood thinners.
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A client is scheduled to have open-heart surgery but has not been informed about potential complications. Which ethical concept has been ignored?
- A. Beneficence
- B. Autonomy
- C. Justice
- D. Informed consent
Correct Answer: D
Rationale: Informed consent ensures clients understand the risks and benefits of procedures before agreeing to them.
By what age is an infant’s retina fully developed?
- A. Birth
- B. 2 months
- C. 4 months
- D. 6 months
Correct Answer: C
Rationale: The retina of an infant is fully developed by around 4 months of age.
A nurse is developing learning objectives for an individual who has been placed on a low-fat, low-cholesterol diet. Which is an example of an appropriately written cognitive learning objective?
- A. The individual will understand the importance of a low-fat, low-cholesterol diet
- B. The individual will correctly identify and purchase low-fat, low-cholesterol foods
- C. The individual will believe that his heart will benefit from a low-fat, low-cholesterol diet
- D. The individual will feel healthier if he follows a low-fat, low-cholesterol diet
Correct Answer: B
Rationale: Cognitive learning focuses on the application of knowledge, and identifying and purchasing the correct foods shows this in action.
During a home visit, the nurse finds a 9-month-old in a playpen with a couple of toys. Which of the following instructions would be most appropriate for the nurse to provide to the parent to encourage growth and development of the child?
- A. Encourage the addition of a few more toys to the playpen.
- B. Suggest keeping the infant in the playpen as much as possible to promote safe play.
- C. Encourage providing the infant with supervised time outside of the playpen.
- D. Suggest removing all toys from the playpen.
Correct Answer: C
Rationale: At 9 months, the infant should be encouraged to explore outside the playpen to aid in physical development and motor skills.
To screen for colorectal cancer, colonoscopy should be conducted every 10 years beginning at age:
- A. 30
- B. 40
- C. 50
- D. 60
Correct Answer: C
Rationale: The recommendation is for individuals aged 50 and older to have a colonoscopy every 10 years to screen for colorectal cancer.