A patient exhibits keratin deposits around hair follicles and has ...

[iveyjurea]

A patient exhibits keratin deposits around hair follicles and has hardened pigmented goose bump lesions on all extremities. The primary care NP should consider prescribing:
 
  a. thiamine.
  b. vitamin A.
  c. beta carotene.
  d. ascorbic acid.

Question 2

The parents of a 3-year-old child tell the primary care NP that their child is a very picky eater and they are worried about the child's nutrition. The NP should recommend:
 
  a. giving the child a daily multivitamin containing iron.
  b. providing small portions of a variety of foods at each meal.
  c. disciplining the child at mealtimes to ensure proper nutrition.
  d. making sure the child's cereals are fortified with vitamins and minerals.

[Laurenleakan]

Answer to Question 1

C
The patient is exhibiting signs of early vitamin A deficiency. Beta carotene is recommended to avoid vitamin A toxicity because beta carotene is converted to vitamin A as needed and there is no need to monitor intake levels as with vitamin A. Thiamine and ascorbic acid are not indicated.

Answer to Question 2

B
Children often develop strong food preferences as they start to eat solid foods. Parents should be taught that balance over time is important and should provide small portions of a variety of foods at every meal. Not every meal has to include every nutrient. Vitamin supplementation may be necessary for children who refuse to eat a variety of foods.

[iveyjurea]

TYSM

[bulacsom]

Excellent