Nursing Elites

1. In patients receiving chemotherapy, which nutrient is often supplemented to manage mucositis?

• A. Vitamin E
• B. Vitamin B12
• C. Zinc
• D. Calcium

Correct answer: C

Rationale: Zinc supplementation is often used to manage mucositis in patients receiving chemotherapy. Zinc has been shown to aid in the healing process of mucositis. Vitamin E (Choice A) is not typically used to manage mucositis associated with chemotherapy. Vitamin B12 (Choice B) is essential for nerve function and the formation of red blood cells, but it is not primarily used to manage mucositis. Calcium (Choice D) is important for bone health and nerve function but is not specifically used to manage mucositis.

2. The healthcare provider is conducting a respiratory assessment and is determining respirations per minute. Which factor(s) generally affect the character of respirations? Select all that apply.

• A. Anxiety
• B. Exercise
• C. Smoking
• D. A, B

Correct answer: D

Rationale: Correct! Anxiety and exercise can significantly alter the character of respirations, increasing the rate and depth. Smoking, while harmful to the respiratory system in the long term, does not directly affect the character of respirations like anxiety and exercise do. Therefore, choices C (Smoking) is incorrect. The correct answer is D (A, B).

3. In determining and fulfilling the nursing care needs of the patient, which step involves assessing whether the care provided is appropriate and effective in relation to the patient's current physiological and psychological status?

• A. Evaluation
• B. Planning
• C. Implementation
• D. Assessment

Correct answer: A

Rationale: The correct answer is A, 'Evaluation.' Evaluation in nursing involves assessing whether the care provided is appropriate and effective in relation to the patient's current physiological and psychological status. This step helps determine the outcomes of the care provided and if any changes are needed. Choice B, 'Planning,' focuses on developing a plan of care based on the assessment findings. Choice C, 'Implementation,' involves carrying out the plan of care. Choice D, 'Assessment,' is the initial step in the nursing process that involves gathering data about the patient's health status.

4. Listed below are five categories that identify the responsibilities of the practical nurse manager in personnel management. Which of these categories is most appropriate for the task of training soldiers for survival on the battlefield?

• A. Accountability
• B. Personal/professional development
• C. Individual training
• D. Military appearance/physical condition

Correct answer: C

Rationale: The correct answer is C: Individual training. This category involves the specific task of preparing soldiers for battlefield survival, making it the most appropriate choice for the given scenario. Choice A, Accountability, focuses on being answerable for one's actions and decisions, which is not directly related to training soldiers. Choice B, Personal/professional development, pertains to personal growth and career advancement, not specific training for battlefield survival. Choice D, Military appearance/physical condition, deals with the physical aspects and presentation of soldiers, not the training required for battlefield survival.

5. When palpating the client's neck for lymphadenopathy, where should the nurse position herself?

• A. At the client's back
• B. At the client's right side
• C. At the client's left side
• D. In front of a sitting client

Correct answer: D

Rationale: When palpating the client's neck for lymphadenopathy, the nurse should position herself in front of a sitting client. This positioning allows for easier access to the neck area and better visualization of any swelling or abnormalities in the lymph nodes. Placing oneself in front of the client ensures proper alignment and comfort for both the nurse and the client during the assessment. Choices A, B, and C are incorrect as positioning at the back or sides of the client may hinder proper assessment due to limited visibility and access to the neck area.

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