Author Question: A nurse is discussing nutrition with a patient who expresses concern about not always consuming ... (Read 54 times)

Charlie · **on:** Jul 23, 2018

A nurse is discussing nutrition with a patient who expresses concern about not always consuming vitamins in amounts consistent with the recommended dietary allowances (RDAs). What will the nurse tell this patient?

a. The RDA is only an estimate of the amount of vitamins required and does not represent a scientific number.
b. The RDA is the amount of vitamin needed by 50 of the population regardless of age or gender.
c. The RDA represents the highest amount that can be consumed safely, so amounts less than this can be sufficient.
d. The RDA represents an average, so low intake one day can be compensated for by increased amounts on another day.

Question 2

A patient who is taking furosemide Lasix and digoxin will begin taking captopril Capoten. The nurse is providing information about the drug. Which statement by the patient indicates a need for further teaching?

a. I can use acetaminophen for analgesia if needed.
b. I should stop taking the Lasix about a week before starting the Capoten.
c. I should take this medication on a full stomach.
d. I will need to have blood tests done every 2 weeks for a few months.

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

Answer to Question 1

D
The recommended dietary allowance is the average daily dietary intake sufficient to meet the nu-trient requirements of nearly all healthy individuals. Because it represents an average, a low amount one day can be compensated for by an increased amount on another day. The RDA val-ues are determined through extensive experimental data and are not estimates. The estimated av-erage requirement (EAR) is the level that meets the nutritional requirements of 50 of healthy individuals. The tolerable upper intake level (UL) is the highest average daily intake that can be consumed without risk of adverse effects.

Answer to Question 2

C
Most oral formulations of ACE inhibitors may be given without regard for meals; captopril and moexipril, however, should be given 1 hour before meals. Nonsteroidal anti-inflammatory medi-cations should be avoided; acetaminophen is not contraindicated. Patients taking diuretics should stop taking them 1 week before starting an ACE inhibitor to minimize the risk of hypotension. A WBC with differential should be evaluated at baseline and, after treatment starts, every 2 weeks for several months to monitor for neutropenia.