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WGU D116 Final Exam: Questions & Accurate Answers
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WGU D116 Final Exam: Questions & Accurate Answers
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WGU D116 Final Exam: Questions & Accurate AnswersAn 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? Right
Ans - 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? Right Ans - Orange juice
Vitamin c facilitates the absorption of iron
Which vitamin has the highest risk for toxicity? Right Ans - 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. Right Ans -
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? Right Ans - 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? Right Ans - 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? Right Ans - 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? Right Ans - 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? Right Ans - 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?
Right Ans - Diazepam (valium)
Has targeted actions on the GABA pathway
True or False
Some supplements can decrease the effects of drugs Right Ans - True
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