Author Question: During the assessment of a preschool-age child, the nurse notes that the child's tongue is tender ... (Read 77 times)

wrbasek0 · **on:** Jun 27, 2018

During the assessment of a preschool-age child, the nurse notes that the child's tongue is tender and there are cracks in the corners of the child's mouth. Which vitamin deficiency does the nurse suspect this child is experiencing?

A) Vitamin A
B) Vitamin B1
C) Vitamin C
D) Vitamin D

Question 2

A 2-month-old infant experiencing severe diarrhea is prescribed intravenous fluid replacement. Before adding potassium to this solution, which assessment should the nurse make?

A) Is voiding
B) Is sleeping
C) Is crying with tears
D) Hands are restrained

lkoler · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
A vitamin A deficiency is caused by a lack of yellow vegetables in the diet. Manifestations of this deficiency include a tender tongue and cracks at the corners of the mouth. Manifestations of a vitamin B1 deficiency include beriberi, diarrhea, and vomiting. Manifestations of a vitamin C deficiency include muscle tenderness and petechiae. Manifestations of a vitamin D deficiency include poor muscle tone, delayed tooth formation, poor bone formation, swelling of the wrists and cartilage of ribs, bowed legs, and muscle spasms.

Answer to Question 2

A
Feedback:
Although infants usually have a potassium depletion, potassium is not given until it is established the child is not in renal failure because giving potassium IV when the body has no outlet for excessive potassium can lead to excessively high potassium levels and heart block. Before this initial IV fluid is changed to a potassium solution, the nurse needs to be certain that the infant has voided, which is proof that the kidneys are functioning. The nurse does not need to ensure that the child is sleeping, crying with tears, or has the hands restrained.