PHARM CH 53

  1. Deficiency states of Vitamin A
    there are 4
    • Skin conditions i.e. Acne, psoriasis, keratosis follicularis= skin lesions
    • Hyperkeratosis of the skin= thickening of skin's outer layer
    • Infant retardation
    • Night blindness
  2. Conditions related to long term Vitamin D deficiency
    there are 3
    • rickets= kids/ softening or malformed bones 
    • osteomalacia= softening of the bones
    • tetany= intermittent muscle spasms
  3. Deficiency of vitamin K can be seen in newborns because of malabsorption due to inadequate amounts of ____.
    bile
  4. _____ _is given as a single intramuscular dose to newborn infants upon arrival to the nursery.
    Vitamins K
  5. Forms of Vitamin K
    Vitamin K1 
    Vitamin K3
    2 parts for K1
    • phytonadione, AquaMEPHYTON
    • menadione
  6. Thiamine (B1) is necessary for the treatment of many thiamine deficiencies i.e. ______ and ______.
    • Beriberi
    • Wernickes encephalopathy
  7. Vitamin B1/thiamine is _____soluble.
    water
  8. Vitamin B1/thiamine food sources are:
    there are 5
    • whole grain breads
    • whole grain cereals
    • liver
    • bean
    • yeast
  9. A patient is taking isoniazid for tuberculosis. The nurse anticipates supplementation with which vitamin for the prevention of drug-induced neuritis (inflammation of peripheral nerves)?




    C.
  10. Which vitamin does the nurse expect to be ordered for a patient diagnosed with Wernicke’s encephalopathy?




    D.
  11. Vitamin C's (Ascorbic Acid) natural sources:
    there are 10
    • Citrus fruits and juices,
    • strawberries
    • Tomatoes,
    • potatoes
    • Broccoli,
    • brussels sprouts
    • green peppers
    • spinach,
    • Cabbage,
    • Liver
  12. Vitamin C (Ascorbic Acid) Functions:
    there are 11
    • Acts in oxidation-reduction reactions
    • Collagen synthesis 
    • Maintenance of connective tissue
    • Tissue repair
    • Maintenance of bone, teeth, and capillaries
    • Folic acid metabolism
    • Erythropoiesis
    • Enhances absorption of iron
    • Required for the synthesis of Lipids, Proteins, Steroids
    • Aids in cellular respiration
    • Aids in resistance to infections
  13. Vitamin C (Ascorbic Acid) Deficiency:
    there are 7
    • Prolonged deficiency results in scurvy.
    • Gingivitis and bleeding gums
    • Loss of teeth
    • Anemia
    • Subcutaneous hemorrhage
    • Bone lesions
    • Delayed healing of soft tissues and bones
  14. Vitamin C (Ascorbic Acid) Indications:
    there are 4
    • Scurvy Prevention and treatment
    • Urinary acidifier
    • Dietary supplement

    Most large controlled studies have shown that ascorbic acid has little or no value as a prophylactic for the common cold
  15. The nurse identifies which vitamin as most often indicated for the prevention and treatment of vision alterations?




    D.
  16. The nurse identifies which food as high in zinc?




    C.
  17. The nurse is providing education about the use of vitamins and minerals at a community health center. One of the participants who is a vegetarian asks if he is at risk for any deficiencies. The nurse identifies which substance as the most common nutritional deficiency in vegetarians?




    B.
  18. Which substance does the nurse identify as useful in the treatment of hyperlipidemia?




    B.
  19. When giving calcium intravenously, the nurse needs to administer it slowly, keeping in mind that rapid intravenous administration of calcium may cause which problem?




    A.
  20. The nurse will assess which laboratory test results before the administration of vitamin K?




    B.
  21. A patient has GI malabsorption due to severe intestinal damage from a gastrointestinal infection. The nurse will need to assess for signs of a deficiency of which vitamin?




    D.
  22. The nurse is providing wound care for a patient with a stage IV pressure ulcer and expects that the patient will receive which supplements to assist in wound healing? (Select all that apply.)

    a. vitamin K
    b. vitamin B1
    c. zinc
    d. calcium
    e. vitamin C
    c, e
  23. While caring for a newly admitted patient who has a long history of alcoholism, the nurse anticipates that part of the patient’s medication regimen will include which vitamin(s)? (Select all that apply.)

    a. vitamin B1 (thiamine)
    b. vitamin B2 (riboflavin)
    c. vitamin B6 (pyridoxine)
    d. vitamin C (ascorbic acid)
    e. vitamin A (retinol)
    a, b, c
  24. When administering vitamin and mineral supplements, the nurse implements which appropriate interventions? (Select all that apply.)

    a. Not administering oral calcium tablets along with oral tetracyclines
    b. Administering intravenous calcium via a rapid intravenous push infusion
    c. Monitoring the heart rhythm (ECG) of a patient receiving an intravenous magnesium infusion
    d. Giving oral niacin with milk or food to decrease gastro-intestinal upset
    e. Monitoring for the formation of renal stones in patients taking large doses of vitamin C
    a, c, d, e
  25. The order reads: “Give vitamin K (AquaMEPHYTON) 0.5 mg IM within 1 hour of birth.” The medication is available in a vial that contains 1 mg/0.5 mL. How many milliliters will the nurse draw up for the injection? (Round to two decimal places)
    0.25
  26. The nurse is assessing a patient who has been recently admitted to the hospital after living on the streets for over 1 year. The nurse notes that the patient has severely chapped and fissured lips. This could be a sign of which vitamin deficiency?




    B.
Author
ccab1979
ID
350554
Card Set
PHARM CH 53
Description
PHARM CH 53
Updated