Nursing Elites

1. A client with celiac disease should avoid which of the following?

• A. Quinoa
• B. Barley
• C. Rice
• D. Oats

Correct answer: B

Rationale: The correct answer is B: Barley. Barley contains gluten, which is harmful to individuals with celiac disease. Gluten triggers an immune response in people with celiac disease, damaging the lining of the small intestine. Choices A, C, and D (Quinoa, Rice, and Oats) are gluten-free and safe for individuals with celiac disease to consume.

2. A client at risk for iron-deficiency anemia is being taught by a nurse about optimizing dietary intake of iron. The nurse should explain that which of the following sources of iron is easiest for the body to absorb?

• A. Spinach
• B. Cantaloupe
• C. Chicken
• D. Lentils

Correct answer: C

Rationale: The correct answer is 'Chicken.' Chicken contains heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based sources like spinach, cantaloupe, and lentils. Heme iron, as present in chicken, is more bioavailable and is better absorbed by the body, making it an excellent source of iron for individuals at risk of iron-deficiency anemia. Spinach, cantaloupe, and lentils contain non-heme iron, which is not as efficiently absorbed as heme iron.

3. Which breakfast items indicate an understanding of foods high in antioxidants A and C?

• A. Fried eggs, sausage, and whole wheat toast
• B. Oatmeal with blueberries and coffee
• C. Cereal with strawberries and low-fat milk
• D. Hard-boiled eggs, cantaloupe, and orange juice

Correct answer: D

Rationale: The correct answer is D: Hard-boiled eggs, cantaloupe, and orange juice. Cantaloupe and orange juice are rich in vitamins A and C, which are known for their antioxidant properties. Choice A is incorrect because fried eggs, sausage, and whole wheat toast do not contain high levels of antioxidants A and C. Choice B is incorrect because, while blueberries are high in antioxidants, coffee does not provide significant amounts of vitamins A and C. Choice C is incorrect because, although strawberries are a good source of vitamin C, low-fat milk does not contribute significantly to vitamins A and C.

4. You notice that Miss Kate, a bread vendor, receives and changes money, then holds the bread without washing her hands. As a nurse, what should you say to Miss Kate?

• A. Miss, don't touch the bread, I'll be the one to pick it up.
• B. Miss, please wash your hands before you pick up the bread.
• C. Miss, use a pick-up forceps when picking up the bread.
• D. Miss, your hands are dirty, I guess I'll try another bread shop.

Correct answer: B

Rationale: The correct answer is B, as it emphasizes the importance of hygiene in food handling, which is crucial to prevent the spread of germs and diseases. The other options do not address the root of the issue, which is the unhygienic handling of food. Option A avoids direct confrontation but does not educate the vendor on proper hygiene. Option C, although it suggests a hygienic method, may not be practical or available in all situations. Option D is an avoidance strategy rather than a way to address the problem.

5. Match amylase with its digestive action:

• A. breaks down carbs
• B. breaks down proteins
• C. breaks down lipids
• D. helps fat digestion

Correct answer: A

Rationale: The correct answer is A: 'breaks down carbs.' Amylase is an enzyme that specifically targets carbohydrates, breaking them down into simpler sugars like maltose. This process aids in the digestion of carbohydrates in the human body. Choices B, C, and D are incorrect because amylase does not break down proteins, lipids, or directly aid fat digestion. Proteins are broken down by proteases, lipids are broken down by lipases, and fat digestion is primarily assisted by bile salts and lipases in the small intestine.

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