A client tells the nurse Take a look at the bruises on my arms ...

[fnuegbu]

A client tells the nurse Take a look at the bruises on my arms and legs. I take a multivitamin tablet
  daily and no other medicine. The bruises started about a week after I began taking some nutritional
  supplements from the health food store.
 
  . The nurse should focus assessment questions on the
  client's use of supplements containing
  a. vitamin A.
  b. vitamin B.
  c. vitamin C.
  d. vitamin E.

Question 2

A middle-aged client tells the nurse that he has delayed ejaculation. Which of the drugs currently
  prescribed for the client is most likely to be at fault for this condition?
 
  a. Warfarin
  b. Doxycycline
  c. Lovastatin
  d. Fosinopril

[braelync]

Answer to Question 1

D
Vitamin E has anticoagulant properties. Generally, a multiple vitamin tablet contains the minimum
daily requirement of each vitamin. Taking nutritional supplements containing additional vitamin E
would qualify as megadosing. Megadosing has the potential for causing bruising and hemorrhage.
Option A: Vitamin A megadoses produces nausea, vomiting, blurred vision, and lack of muscle
coordination. Option B: Vitamin B megadoses do not produce anticoagulant effects. Option C:
Vitamin C megadoses may produce kidney stones.

Answer to Question 2

D
Antihypertensive agents often cause or contribute to sexual dysfunction. The other options do not
usually cause this problem.