Author Question: A patient exhibits keratin deposits around hair follicles and has hardened pigmented goose bump ... (Read 67 times)

iveyjurea · **on:** Jul 24, 2018

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 · **Reply #1 on:** Jul 24, 2018

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.