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Author Question: A child is diagnosed with rickets. The nurse knows that this child is most likely deficient in which ... (Read 13 times)

littleanan

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on: Jul 23, 2018
A child is diagnosed with rickets. The nurse knows that this child is most likely deficient in which vitamin?
 
  a. Niacin (nicotinic acid)
  b. Thiamin (vitamin B1)
  c. Vitamin C (ascorbic acid)
  d. Vitamin D

Question 2

A female patient who begins taking spironolactone Aldactone as an adjunct to furosemide Lasix complains that her voice is deepening. What will the nurse do?
 
  a. Contact the provider to obtain an order for a complete blood count (CBC) and liver function tests.
  b. Explain that this drug binds with receptors for steroid hormones, causing this effect.
  c. Report this side effect to the provider and request another medication for this pa-tient.
  d. Teach the patient to report any associated cough, which may indicate a more severe side effect.


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deja

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Reply #1 on: Jul 23, 2018
Answer to Question 1

D
Vitamin D plays a critical role in the regulation of the metabolism of calcium and phosphorus. Classical effects of deficiency are rickets in children and osteomalacia in adults. Niacin, thiamin, and vitamin C do not play a role in the prevention of rickets.

Answer to Question 2

B
Spironolactone binds with receptors for aldosterone and with other steroid hormones, causing side effects such as gynecomastia, menstrual irregularities, impotence, hirsutism, and deepening of the voice. There is no indication for a CBC or for liver function tests in this patient with this side effect. Deepening of the voice is not an indication for withdrawal of the drug. This side ef-fect is not associated with cough.


littleanan

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


deja

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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