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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Which of the following statements best describes the application of moral or ethical theory to the practices involved in health promotion?
- A. One can be assured of morally correct action in a given situation if one adheres to a theory of moral principles.
- B. There are no identifiable criteria that can be used effectively to determine correct actions in a given situation.
- C. The good of the larger population always takes precedence over the good of one individual.
- D. Making ethical decisions regarding human health involves the consideration of multiple factors.
Correct Answer: D
Rationale: Ethical decisions about human health require multiple factors to be considered, as it's not always clear-cut.
During a well-child visit, a father tells the nurse that the preschool-aged child has been enjoying their “road trips” that they take together when the child gets to sit in the front seat of the car with him. Which of the following actions should the nurse take next?
- A. Report the father to the Department of Human Services.
- B. Encourage the father to have the child sit in the back seat instead.
- C. Instruct the father on the dangers of having small children in the front seat.
- D. Provide the parent with educational materials about car seat safety.
Correct Answer: C
Rationale: Children under age 13 should sit in the back seat to avoid injury from airbags in the front seat.
A nurse is implementing a test that screens for hypercholesterolemia. Which of the following parameters should this test have?
- A. No cutoff point
- B. Low cutoff point
- C. Intermediate cutoff point
- D. High cutoff point
Correct Answer: B
Rationale: A low cutoff point helps identify individuals at risk for hypercholesterolemia early, promoting early intervention and treatment.
Which of the following statements is correct related to the concept of growth?
- A. Growth occurs mainly during early childhood.
- B. Older adults do not experience growth-related changes.
- C. Growth refers only to the increase in the size of specific organs and systems.
- D. Growth occurs throughout the life cycle.
Correct Answer: D
Rationale: Growth is a continuous process that takes place throughout the life cycle, including in adulthood.
A nurse is discussing genetic disorders with a local community group. Which of the following statements would the nurse make during the presentation?
- A. Downs syndrome is most likely to appear during the preschool years.
- B. Hemophilia is most likely to appear during the preschool years.
- C. Cystic fibrosis is most likely to appear during the preschool years.
- D. Multiple sclerosis is most likely to appear during the preschool years.
Correct Answer: C
Rationale: Cystic fibrosis and other genetic disorders like Duchenne muscular dystrophy typically present in preschool years.