WGU D116 UNIT 6 EXAM WITH CORRECT SOLUTIONS!!
An adult who has been self-medicating using nutritional therapy for an elevated
cholesterol level complains of repeated episodes of flushing.
What should the provider suspect that the patient has been taking? - ANSWER Niacin
Niacin is used to reduce cholesterol levels. When taken in large doses, nicotinic acid
can cause vasodilation with resultant flushing, dizziness, and nausea
A patient will begin taking iron supplements to treat anemia. Which food should the
provider recommend that the patient take the iron with to facilitate absorption? -
ANSWER Orange juice
Vitamin c facilitates the absorption of iron
Which vitamin has the highest risk for toxicity? - ANSWER Vitamin A
Vitamins A, D, E, and K are fat soluble and are stored in the body, excess intake may
lead to toxicity
True or False
Taking a multivitamin-mineral (MVM) supplement increases overall nutrient intake and
helps some people get the recommended amounts of vitamins and minerals when they
cannot or do not get them from food alone. - ANSWER True
A patient with a vitamin B12 deficiency is admitted with symptoms of hypoxia, anemia,
numbness of hands and feet, and oral stomatitis.
Which of the following therapies should the provider order? - ANSWER IM
cyanocobalamin and folic acid
, A patient tells her provider that she is thinking about getting pregnant and asks about
nutritional supplements.
What should the provider recommend? - ANSWER 400-800 mg of folic acid per day
All women of childbearing age take folic acid supplementation to prevent the
development of neural tube defects that can occur early in pregnancy
A patient is diagnosed with a moderate vitamin B12 deficiency. The nurse reviews the
laboratory work and notes that the plasma B12 is low; also, a Schilling test reveals B12
malabsorption. The provider orders oral cyanocobalamin, 500 mcg per day.
What should the nurse contact the provider to do? - ANSWER Suggest an increased
dose
Pts with a vitamin B12 deficiency associated with B12 malabsorption need increased
doses of oral cyanocobalamin of 1000-10000 mcg per day-not necessary to give IM
Give folic acid when B12 deficiency is severe as well as platelets
A patient in her twenties has frequent urinary tract infections (UTIs), and her prescriber
suggests drinking cranberry juice. She asks how drinking this can help.
Which response from the provider is correct? - ANSWER Cranberry juice prevents
bacteria from adhering to the urinary tract wall
A provider is performing a preoperative drug history on a patient who is admitted to the
hospital for surgery. To evaluate the risk of hemorrhage, the provider will ask the
patient about antiplatelet and anticoagulant medications as well as which dietary
supplement? - ANSWER Ginkgo biloba
Can suppress platelet aggregation and will increase the risk of bleeding in patients
taking antiplatelet meds and anticoags
Kava's mechanism of action most similarly resembles that of which drug? - ANSWER
An adult who has been self-medicating using nutritional therapy for an elevated
cholesterol level complains of repeated episodes of flushing.
What should the provider suspect that the patient has been taking? - ANSWER Niacin
Niacin is used to reduce cholesterol levels. When taken in large doses, nicotinic acid
can cause vasodilation with resultant flushing, dizziness, and nausea
A patient will begin taking iron supplements to treat anemia. Which food should the
provider recommend that the patient take the iron with to facilitate absorption? -
ANSWER Orange juice
Vitamin c facilitates the absorption of iron
Which vitamin has the highest risk for toxicity? - ANSWER Vitamin A
Vitamins A, D, E, and K are fat soluble and are stored in the body, excess intake may
lead to toxicity
True or False
Taking a multivitamin-mineral (MVM) supplement increases overall nutrient intake and
helps some people get the recommended amounts of vitamins and minerals when they
cannot or do not get them from food alone. - ANSWER True
A patient with a vitamin B12 deficiency is admitted with symptoms of hypoxia, anemia,
numbness of hands and feet, and oral stomatitis.
Which of the following therapies should the provider order? - ANSWER IM
cyanocobalamin and folic acid
, A patient tells her provider that she is thinking about getting pregnant and asks about
nutritional supplements.
What should the provider recommend? - ANSWER 400-800 mg of folic acid per day
All women of childbearing age take folic acid supplementation to prevent the
development of neural tube defects that can occur early in pregnancy
A patient is diagnosed with a moderate vitamin B12 deficiency. The nurse reviews the
laboratory work and notes that the plasma B12 is low; also, a Schilling test reveals B12
malabsorption. The provider orders oral cyanocobalamin, 500 mcg per day.
What should the nurse contact the provider to do? - ANSWER Suggest an increased
dose
Pts with a vitamin B12 deficiency associated with B12 malabsorption need increased
doses of oral cyanocobalamin of 1000-10000 mcg per day-not necessary to give IM
Give folic acid when B12 deficiency is severe as well as platelets
A patient in her twenties has frequent urinary tract infections (UTIs), and her prescriber
suggests drinking cranberry juice. She asks how drinking this can help.
Which response from the provider is correct? - ANSWER Cranberry juice prevents
bacteria from adhering to the urinary tract wall
A provider is performing a preoperative drug history on a patient who is admitted to the
hospital for surgery. To evaluate the risk of hemorrhage, the provider will ask the
patient about antiplatelet and anticoagulant medications as well as which dietary
supplement? - ANSWER Ginkgo biloba
Can suppress platelet aggregation and will increase the risk of bleeding in patients
taking antiplatelet meds and anticoags
Kava's mechanism of action most similarly resembles that of which drug? - ANSWER
