Author Question: The nurse is providing education about fat-soluble and water-soluble vitamins. What is a significant ... (Read 225 times)

s.tung · **on:** Jul 23, 2018

The nurse is providing education about fat-soluble and water-soluble vitamins. What is a significant difference that the nurse should include in the teaching session?

1. Water-soluble vitamins are A and D.
2. Fat-soluble vitamins cannot be stored for later use.
3. Excess water-soluble vitamins are excreted in the urine.
4. Water-soluble vitamins can be toxic if stored in excess.

Question 2

A nurse is instructing a client with chronic pain about two new prescriptions: ibuprofen (Advil) and misoprostol (Cytotec). The client is asking about why the misoprostol (Cytotec) was added. Which is the nurse's best response?

1. Ibuprofen (Advil) is toxic and misoprostol (Cytotec) will reduce the toxicity.
2. Misoprostol (Cytotec) will create a protective mucous to decrease irritation from the ibuprofen (Advil).
3. Ibuprofen (Advil) has inflammatory properties that misoprostol (Cytotec) will decrease.
4. Misoprostol (Cytotec) will stimulate gastric production to assist digestion of ibuprofen (Advil).

TheDev123 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

3

Rationale 1: Water-soluble vitamins are C and B; fat-soluble vitamins are A, D, E, and K.
Rationale 2: Fat-soluble vitamins can be stored in large quantities in the liver and fat.
Rationale 3: Water-soluble vitamins are absorbed and readily dissolve in blood and body fluids, and the excess is excreted in the urine. Because they are not stored to any significant degree, they must be ingested daily; otherwise deficiencies will quickly develop.
Rationale 4:Water-soluble vitamins can be toxic if stored in excess is incorrect because water-soluble vitamins are absorbed and readily dissolve in blood and body fluids, and the excess is excreted in the urine. Because they are not stored to any significant degree, they must be ingested daily; otherwise deficiencies will quickly develop.

Global Rationale: Water-soluble vitamins are absorbed and readily dissolve in blood and body fluids, and the excess is excreted in the urine. Because they are not stored to any significant degree, they must be ingested daily; otherwise deficiencies will quickly develop. Water-soluble vitamins are C and B; fat-soluble vitamins are A, D, E, and K.

Answer to Question 2

2

Rationale 1:Ibuprofen has anti-inflammatory properties and is not toxic.
Rationale 2:Misoprostol inhibits gastric acid secretion and stimulates the production of protective mucous.
Rationale 3:Ibuprofen has anti-inflammatory properties and misoprostol will not decrease the properties.
Rationale 4:Misoprostol inhibits gastric acid secretion and stimulates the production of protective mucous.

Global Rationale: Misoprostol (Cytotec) is a prostaglandin-like substance that inhibits gastric acid secretion and stimulates the production of protective mucus. Its primary use is for the prevention of peptic ulcers in patients taking high doses of NSAIDs.