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Nursing Pharmacology · NCLEX-RN

Nursing Pharmacology: Vitamins and Supplements

Vitamin deficiency and toxicity replacement therapies with their key nursing monitoring and patient teaching points.

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What eye condition results from vitamin A deficiency?
Night blindness
Why is high-dose vitamin A avoided during pregnancy?
It is teratogenic and can cause birth defects
Which organ is at risk of damage from vitamin A toxicity?
The liver (hepatotoxicity)
Deficiency disease caused by lack of thiamine (vitamin B1)
Beriberi
What syndrome results from chronic thiamine deficiency in alcohol use disorder?
Wernicke-Korsakoff syndrome
Before giving IV dextrose to a patient with chronic alcohol use disorder, what should the nurse administer first?
Thiamine
Deficiency disease caused by lack of niacin (vitamin B3)
Pellagra
What common side effect occurs with niacin therapy?
Flushing of the skin
What teaching helps reduce niacin-induced flushing?
Take aspirin or an NSAID about 30 minutes before the niacin dose
What neurologic symptom results from pyridoxine (vitamin B6) deficiency?
Peripheral neuropathy
Which tuberculosis drug requires vitamin B6 supplementation to prevent neuropathy?
Isoniazid (INH)
What type of anemia results from folic acid (vitamin B9) deficiency?
Megaloblastic anemia
Adequate folic acid intake before and during early pregnancy helps prevent ____.
neural tube defects
Which chemotherapy drug is associated with causing folate deficiency?
Methotrexate
What is the name of the anemia caused by vitamin B12 deficiency from lack of intrinsic factor?
Pernicious anemia

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