The nurse is conducting an assessment of a new client who has ...

[ericka1]

The nurse is conducting an assessment of a new client who has been using megadoses of nutritional supplements for several years.
 
  The nurse is aware that consistently high doses of many vitamins have no adverse effects; however, long-term exposure to synthetic folic acid may do which of the following? A) Mask a deficiency of vitamin B12
  B) Can cause a temporary sensory neuropathy
  C) May increase the risk of heart disease
  D) Increase the need for other B vitamins

Question 2

Someone who follows a strict vegetarian (vegan) diet and eats very few refined foods is likely to have a _____ intake of _____ carbohydrates and dietary fiber.
 
  a. low; complex
  b. high; complex
  c. low; simple
  d. high; simple

[Edwyer]

Answer to Question 1

A
Feedback:
Long-term exposure to synthetic folic acid may mask vitamin B12 deficiency, which can cause permanent neurologic damage if left untreated. Other potential risks include an increased risk of cognitive decline in older people with a low vitamin B12 status, increased tumorigenesis in clients with pre-existing lesions, and increased risk of cancer in general.

Answer to Question 2

B
Strict vegetarian diets contain only plant foods that are high in carbohydrates. Refined foods contain more simple sugars and some starch. Unrefined foods contain mostly complex carbohy-drates and fiber. Therefore someone who follows a strict vegetarian diet and eats very few re-fined foods is likely to have a high intake of complex carbohydrates and dietary fiber.