Nursing Elites

1. A 31-year-old client is seeking contraceptive information. Before responding to the client’s questions about contraceptives, the nurse obtains a health history. What factor in the client’s history indicates to the nurse that oral contraceptives are contraindicated?

• A. More than 30 years of age
• B. Had two multiple pregnancies
• C. Smokes 1 pack of cigarettes a day
• D. Has a history of borderline hypertension

Correct answer: C

Rationale: The correct answer is C. Smoking, especially in clients over 30, increases the risk of thromboembolic events, making oral contraceptives contraindicated. Choice A is incorrect as age alone is not a contraindication for oral contraceptives. Choice B is incorrect as having multiple pregnancies is not a contraindication for oral contraceptives. Choice D is incorrect as borderline hypertension is not a strict contraindication for oral contraceptives.

2. The system used at the division level and forward comprises six basic modules. Which module is composed of four medical specialists and two vehicles?

• A. Patient holding squad
• B. Surgical squad
• C. Ambulance squad
• D. Area support squad

Correct answer: C

Rationale: The Ambulance Squad is the module composed of four medical specialists and two vehicles. This squad is responsible for providing medical care during transportation. Choices A, B, and D are incorrect as they do not match the description provided in the question. The Patient Holding Squad focuses on a different aspect of patient care, the Surgical Squad is more specialized in surgical procedures, and the Area Support Squad provides a different type of support.

3. For a patient with a history of liver disease, which type of diet is most appropriate?

• A. High-protein
• B. High-carbohydrate
• C. Low-protein
• D. Low-fat

Correct answer: D

Rationale: A low-fat diet is the most appropriate for a patient with a history of liver disease. This diet helps reduce liver stress and manage symptoms associated with liver disease. High-protein and high-carbohydrate diets can strain the liver and worsen the condition. A low-protein diet may be necessary in cases of liver disease with hepatic encephalopathy, but in general, a low-fat diet is recommended to support liver function and overall health.

4. A patient with hypothyroidism should be advised to consume more of which nutrient?

• A. Calcium
• B. Iodine
• C. Vitamin C
• D. Iron

Correct answer: B

Rationale: The correct answer is B: Iodine. Iodine is crucial for the production of thyroid hormones. A deficiency in iodine can lead to hypothyroidism. Calcium (Choice A) is important for bone health but is not directly related to thyroid function. Vitamin C (Choice C) is essential for the immune system and skin health but does not play a significant role in thyroid function. Iron (Choice D) is vital for red blood cell production and oxygen transport but is not specifically relevant to hypothyroidism.

5. What is the primary goal of care for a client diagnosed with sickle cell anemia?

• A. The client will contact the healthcare provider if feeling unwell.
• B. The client will adhere to the medical regimen.
• C. The client will live as normal a life as possible.
• D. The client will demonstrate understanding of treatments.

Correct answer: C

Rationale: The primary goal of care for a client diagnosed with sickle cell anemia is to help them live as normal a life as possible. This involves managing symptoms, preventing crises, and promoting overall well-being. While options A, B, and D are important aspects of care, the ultimate goal is to enhance the client's quality of life and support them in leading a fulfilling and active lifestyle despite their condition.

Similar Questions