Author Question: The client has been consuming very high amounts of vitamin A. He asks the nurse why this is a ... (Read 33 times)

Pineappleeh · **on:** Jul 23, 2018

The client has been consuming very high amounts of vitamin A. He asks the nurse why this is a problem since it is just a vitamin. What is the best response by the nurse?

1. Water-soluble vitamins like vitamin A are readily excreted in your urine.
2. It really isn't a problem; your body will just get rid of the excess vitamins.
3. It's okay to take what you want; just cut back if you experience side effects.
4. Fat-soluble vitamins like vitamin A are stored in your body, and too much can be toxic.

Question 2

While a nurse is collecting medical history the client says, I was diagnosed with a spastic colon. How should the nurse interpret this statement?

1. The client has ulcerative colitis.
2. The client has had recurrent abdominal pain for at least 3 months.
3. The client has irritable bowel syndrome.
4. The client's disease is psychosomatic.
5. The client has Crohn's disease.

bbburns21 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Vitamin A is a fat-soluble vitamin and is not readily excreted in the urine; only the water-soluble vitamins like B and C will be excreted in the urine.
Rationale 2: Fat-soluble vitamins can be stored in large quantities in the liver and adipose tissue. This storage may lead to dangerously high levels if taken in excessive amounts.
Rationale 3: By the time the client experiences side effects, toxicity has occurred, so this is bad advice.
Rationale 4: Fat-soluble vitamins can be stored in large quantities in the liver and adipose tissue. This storage may lead to dangerously high levels if taken in excessive amounts.

Answer to Question 2

Correct Answer: 2,3
Rationale 1: Typically, the diagnosis of spastic colon is not the same as ulcerative colitis.
Rationale 2: The diagnostic criterion for this disorder is recurrent abdominal pain for at least 3 days per month during the previous 3 months.
Rationale 3: Irritable bowel syndrome is also known as spastic colon.
Rationale 4: While there is often no organic disease found in this disorder, the pain and other findings are real.
Rationale 5: Irritable bowel syndrome is not the same as Crohn's disease.