Nokea
Which vitamin deficiency is commonly associated with prolonged antibiotic use?
- A. Vitamin A
- B. Vitamin B6
- C. Vitamin C
- D. Vitamin K
Correct Answer: D
Rationale: The correct answer is Vitamin K. Prolonged antibiotic use can disrupt the gut flora, which is responsible for synthesizing Vitamin K. This disruption can lead to a Vitamin K deficiency and an increased risk of bleeding. Vitamin A, B6, and C deficiencies are not typically associated with prolonged antibiotic use.
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Listed below are five categories that identify the responsibilities of the practical nurse manager in personnel management. Which of these categories is most appropriate for the task of 'Ensuring that soldiers are utilized in their MOS'?
- A. Accountability
- B. Personal/professional development
- C. Individual training
- D. Military appearance/physical condition
Correct Answer: A
Rationale: The correct answer is 'Accountability.' Accountability involves ensuring that individuals are utilized effectively in their assigned roles, which aligns with the task of 'Ensuring that soldiers are utilized in their MOS.' Personal/professional development (choice B) focuses on personal growth and skill enhancement rather than role utilization. Individual training (choice C) pertains to specific skill development rather than overall role utilization. Military appearance/physical condition (choice D) relates to physical fitness and appearance standards, not role assignments.
A client who _____ diet requires _____ amounts of vitamin C.
- A. Follows a vegan diet
- B. Smokes cigarettes
- C. Follows a vegetarian diet
- D. Follows a ketogenic diet
Correct Answer: B
Rationale: Clients who smoke require more vitamin C due to increased oxidative stress and depletion of vitamin C. Smoking leads to the generation of free radicals in the body, causing oxidative stress and consuming higher levels of antioxidants like vitamin C. Choices A, C, and D are incorrect as they do not directly relate to the increased need for vitamin C as seen in smokers.
Which nursing instruction should the nurse discuss with the client who is receiving glucocorticoids for Addison's disease?
- A. Discuss the importance of tapering medications when discontinuing medication
- B. Explain that the dose will need to be decreased during times of stress or infection
- C. Instruct the client to take medication on an empty stomach with a glass of water
- D. Encourage the client to wear a MedicAlert bracelet and carry a card in the wallet
Correct Answer: A
Rationale: The correct answer is to discuss the importance of tapering medications when discontinuing medication. Tapering glucocorticoids is crucial to prevent adrenal insufficiency, which can occur if the medication is stopped abruptly. Choice B is incorrect because it focuses on adjustments during stress or infection, not discontinuation. Choice C is unrelated to the management of glucocorticoids. Choice D is important for emergency identification but is not directly related to medication management.
A nurse is caring for a client with a diagnosis of catatonic schizophrenia. What clinical finding does the nurse expect the client to exhibit?
- A. Crying
- B. Self-mutilation
- C. Immobile posturing
- D. Repetitive activities
Correct Answer: C
Rationale: In catatonic schizophrenia, clients commonly exhibit immobile posturing, where they may maintain a fixed position for extended periods. This could include holding rigid poses or remaining motionless. Choice A, 'Crying,' is not typically associated with catatonic schizophrenia. Choice B, 'Self-mutilation,' refers to a different behavior seen in some mental health conditions but is not a characteristic feature of catatonic schizophrenia. Choice D, 'Repetitive activities,' does not align with the typical presentation of catatonic schizophrenia, which is characterized by motor abnormalities such as immobility rather than engaging in purposeful repetitive movements.
What is the mission of the Army Medical Department?
- A. Ensure that each soldier receives a physical examination annually
- B. Deliver healthcare to regions of the U.S. designated as disaster areas by the President
- C. Maintain the health of the Army and preserve its combat effectiveness
- D. Offer medical, dental, and veterinary education and training
Correct Answer: C
Rationale: The correct answer is C: 'Maintain the health of the Army and preserve its combat effectiveness.' This mission statement reflects the primary goal of the Army Medical Department, which is to ensure that military personnel remain healthy and fit for duty to preserve the Army's fighting strength. Choices A, B, and D are incorrect because they do not capture the core purpose of the Army Medical Department, which is focused on the health and readiness of the military forces, rather than performing annual physical examinations, responding to disasters, or providing education and training.