Chapter 15: Vitamin and Mineral Replacement

Chapter 15: Vitamin and Mineral Replacement

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient asks the nurse about whether it is necessary to take vitamin supplements. The patient is a 26-year-old female who is contemplating pregnancy. The nurse will recommend which supplement?

a.	Calcium and vitamin D
b.	Folic acid (folate)
c.	Iron
d.	Vitamin C

 

 

ANS:  B

Folic acid deficiency during the first trimester of pregnancy can affect the development of the CNS of the fetus, so women of childbearing age are encouraged to take folic acid. Other supplements are not necessary with a well-balanced diet unless a deficiency is noted.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 216

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort: Nutrition

 

2. A patient reports wanting to take vitamin A to prevent blindness. Which response by the nurse is correct?

a.	“Vitamin A can be taken prophylactically without serious adverse effects.”
b.	“Vitamin A does not have any effects on vision.”
c.	“Vitamin A is difficult to obtain through dietary intake alone.”
d.	“Vitamin A is stored in the liver for up to 2 years, and toxicity can occur.”

 

 

ANS:  D

Vitamin A is stored in the liver for up to 2 years, and toxicity can occur. The effects of toxicity can be severe. Vitamin A is essential for the maintenance of eye function. Vitamin A can be obtained in foods.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 214

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort: Nutrition

 

3. A young woman tells the nurse that she has a strong family history of osteoporosis and that she has been taking calcium supplements. Which vitamin will the nurse recommend as an adjunct to calcium supplementation?

a.	Vitamin A
b.	Vitamin D
c.	Vitamin E
d.	Vitamin K

 

 

ANS:  B

Vitamin D is needed for calcium absorption from the intestines and plays a major role in regulating calcium and phosphorus metabolism.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Pages 214-215

TOP:   NURSING PROCESS: Nursing Intervention

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort: Nutrition

 

4. A patient who spends most of the time indoors has been taking megadoses of vitamin D and is worried about vitamin D toxicity. The nurse will tell this patient to report which sign that may indicate vitamin D toxicity?

a.	Blurred vision
b.	Darkening of the skin
c.	Nausea and vomiting
d.	Palpitations

 

 

ANS:  C

Anorexia, nausea, and vomiting are early signs of vitamin D toxicity.

 

DIF:    COGNITIVE LEVEL: Remembering (Knowledge)           REF:   Page 215

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort: Nutrition