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 experiencing an alteration in the health-perception–health-management pattern and an alteration in the values-beliefs pattern. Which of the following best describes the behavior of this person?
- A. Never sees a physician
- B. Only sees a physician if not feeling well
- C. Sees a physician for screenings only
- D. Sees a physician for follow-up care of a chronic disease
Correct Answer: B
Rationale: This person likely only sees a physician when unwell, reflecting an altered health perception and values.
During a home visit, a nurse assists an individual to complete an application for disability services. The nurse is acting as a(n):
- A. Advocate
- B. Care manager
- C. Consultant
- D. Educator
Correct Answer: A
Rationale: Advocacy helps individuals access services they are entitled to, assisting them in navigating the healthcare system.
Cardiovascular health: Which medication is recommended?
- A. "Aspirin."
- B. "Folic acid."
- C. "Estrogen."
- D. "Estrogen receptor modulator."
Correct Answer: A
Rationale: Aspirin is recommended to lower cardiovascular risk by preventing clot formation.
A health care provider is discussing preventive care with a Hispanic family. Why might they be disinterested?
- A. Lack of folk remedies
- B. Lack of interpreter services
- C. Lack of health insurance
- D. Lack of family support
Correct Answer: C
Rationale: Language barriers and lack of insurance often prevent access to health care.
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.