Author Question: A middle-aged patient is proud of the fact that she is proactive with her health maintenance and ... (Read 66 times)

SO00 · **on:** Jul 23, 2018

A middle-aged patient is proud of the fact that she is proactive with her health maintenance and tells the nurse that she has been taking 2400 International Units of vitamin D daily, stating, More is better when it comes to vitamins.

The nurse should provide health teaching to the patient because her current vitamin D intake creates a risk for A) hypercalcemia.
B) hyperphosphatemia.
C) hypocalcemia.
D) tetany.

Question 2

A 13-year-old boy has been taking dextroamphetamine for the treatment of ADHD since he was 10, achieving significant improvements in behavior and mood.

When assessing the boy during a scheduled follow-up appointment, the nurse should prioritize what physical assessment? A) Abdominal girth and assessment for peripheral edema
B) Measurement of height and body weight
C) Visual acuity and hearing ability
D) Assessment of deep tendon reflexes and peripheral pulses

Athena23 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
It is important to take vitamin D supplements cautiously and not overuse them; excessive amounts can cause serious problems, including hypercalcemia. Tetany is associated with hypocalcemia. Hypophosphatemia typically accompanies hypercalcemia.

Answer to Question 2

B
Feedback:
Suppression of weight and height may occur in children taking amphetamines, and the nurse ensures that growth is monitored during drug therapy. Assessments for edema, diminished reflexes, and sensory deficits are not normally warranted.