Nokea
The nurse should instruct a woman taking folic acid supplements for folic acid-deficiency anemia that:
- A. It will take several months to notice an improvement.
- B. Folic acid should be taken on an empty stomach.
- C. Iron supplements are contraindicated with folic acid supplementation.
- D. Oral contraceptive use, pregnancy, and lactation increase daily requirements.
Correct Answer: D
Rationale: Pregnancy, lactation, and oral contraceptive use increase folic acid requirements due to increased metabolic demands.
You may also like to solve these questions
A client receiving chemotherapy has a platelet count of 15,000 mm³ (15 x 10â¹/L). Based on this laboratory result, which form of precautions should the nurse implement?
- A. Contact
- B. Bleeding
- C. Respiratory
- D. Neutropenic
Correct Answer: B
Rationale: When the platelet count is less than 20,000 mm³ (20 x 10â¹/L), the client is at risk for bleeding, and the nurse should institute bleeding precautions. Contact precautions are initiated in a client who has drainage from wounds that may be infectious. Respiratory precautions are instituted for a client with a respiratory infection that is transmitted by the airborne route. Neutropenic precautions would be instituted for a client with a low neutrophil count.
You are caring for a client who has just had a thoracentesis. Which complication should you be aware of during the immediate post-operative period of time?
- A. Infection
- B. Pneumothorax
- C. Aspiration
- D. Dyspnea
Correct Answer: B
Rationale: Pneumothorax is a potential complication of thoracentesis due to the risk of lung puncture during the procedure, requiring immediate monitoring.
The mother of a 2-year-old who has been bitten by the family dog asks the nurse what to do about the bite. What should the nurse tell the mother?
- A. You need to take the child to the local urgent recommended by the 1980'
- B. Wash the bite area with lots of running water, and then check the injury.'
- C. Determine when the child's latest tetanus vaccine was administered.'
- D. Make an appointment to see the child's physician now to start rabies shots.'
Correct Answer: B
Rationale: Washing the bite area with running water helps clean the wound and reduce infection risk. Tetanus status and rabies risk can be assessed afterward, but immediate cleaning is the priority.
A client with a history of cirrhosis is admitted with hepatic encephalopathy. The nurse should include which of the following in the plan of care?
- A. Administer lactulose as prescribed.
- B. Encourage a high-protein diet.
- C. Restrict fluid intake.
- D. Administer sedatives for agitation.
Correct Answer: A
Rationale: Lactulose reduces ammonia levels in hepatic encephalopathy.
The nurse instills 5 mL of normal saline before suctioning a client's tracheostomy tube. The instillation is effective when:
- A. The secretions are thinned.
- B. The client coughs.
- C. There is minimal friction when the catheter is passed into the tracheostomy tube.
- D. There is humidification for the respiratory tract.
Correct Answer: A
Rationale: Instilling normal saline thins secretions, facilitating effective suctioning of the tracheostomy tube.