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.
A nurse is providing anticipatory guidance to parents about the self-perception–self-concept pattern of a toddler. Which of the following statements would the nurse most likely make?
- A. “Temper tantrums are expected, so always give in to them.”
- B. “Put your toddler in time out if he has a temper tantrum.”
- C. “Childproof your home.”
- D. “Always provide your toddler with challenging toys.”
Correct Answer: C
Rationale: Childproofing the home is essential for safety as toddlers explore their environment, often leading to risky behavior.
According to the physical activity and fitness section of the Healthy People 2020 report, what percentage of adults 18 years of age or older report no leisure-time physical activity?
- A. 16%
- B. 26%
- C. 36%
- D. 46%
Correct Answer: D
Rationale: According to the report, 36% of adults 18 years and older report no leisure-time physical activity.
Which individuals have a higher than average risk of homicide?
- A. 33-year-old woman who served 5 years in prison
- B. 20-year-old homeless man
- C. 28-year-old man with a history of bipolar disorder
- D. 24-year-old woman with a female partner
Correct Answer: B
Rationale: Homelessness and a history of violence place individuals at a significantly higher risk of homicide.
A nurse is discussing the harmful effects that chemical agents can have on an unborn child with a woman who is pregnant. Which of the following statements made by the woman indicates a need for further teaching?
- A. “It is safe to eat up to 12 ounces of cooked fish weekly.”
- B. “I should avoid using caffeine during pregnancy.”
- C. “Consumption of one drink per day will not cause any harm to my unborn baby.”
- D. “Use of nicotine during pregnancy may cause my child to be born prematurely.”
Correct Answer: C
Rationale: No level of alcohol use is safe during pregnancy, so the mother should avoid alcohol entirely.