Nursing Elites

1. A common comorbidity in patients with Chronic Kidney Disease (CKD) is:

• A. Liver disease
• B. Malnutrition
• C. Acute renal failure
• D. Difficulty breathing

Correct answer: B

Rationale: Malnutrition is a common comorbidity in patients with Chronic Kidney Disease (CKD). This is mainly due to factors such as dietary restrictions, poor appetite, and the body's increased nutritional needs as it struggles to deal with the disease. Liver disease (Choice A) is not typically associated directly with CKD, although both conditions may coexist in some patients. Acute renal failure (Choice C) is not a comorbidity but a severe and potentially lethal progression of CKD. Difficulty breathing (Choice D) is not a comorbidity but can be a symptom of severe kidney disease or other underlying conditions. However, malnutrition is more commonly observed in CKD patients compared to difficulty breathing.

2. Much of the research investigating probiotics and intestinal illness has focused on the prevention and treatment of _____.

• A. irritable bowel syndrome
• B. Crohn's disease
• C. diverticulitis
• D. infectious diarrhea

Correct answer: D

Rationale: The correct answer is 'D: infectious diarrhea.' Research has extensively explored the use of probiotics in the prevention and treatment of infectious diarrhea. Probiotics can aid in restoring the balance of gut flora, thereby reducing symptoms. Choices A, B, and C are incorrect because while probiotics may have some benefits for these conditions, the primary focus of research in relation to probiotics and intestinal illness has been on infectious diarrhea.

3. How many grams of protein per day are recommended for a person weighing 150 lbs?

• A. 120
• B. 85
• C. 187.5
• D. 54

Correct answer: D

Rationale: The Recommended Dietary Allowance (RDA) for protein is 0.8 grams per kilogram of body weight. To convert pounds to kilograms, divide the weight in pounds by 2.2. Therefore, a 150 lb person weighs approximately 68 kg (150 / 2.2 = 68). Multiplying 68 kg by 0.8 grams gives us 54 grams of protein per day. Choices A, B, and C are incorrect as they do not align with the RDA calculation based on body weight.

4. A client with Crohn's disease is being cared for by a nurse. Which of the following food choices aligns with the recommended diet for clients with Crohn's disease?

• A. Vanilla milkshake
• B. Buttered popcorn
• C. Tossed green salad
• D. Toast with jelly

Correct answer: C

Rationale: The correct answer is a 'Tossed green salad.' Clients with Crohn's disease often benefit from a low-residue diet, which includes easily digestible foods like leafy green vegetables found in a tossed green salad. This type of diet helps minimize gastrointestinal symptoms. Choices A, B, and D are not ideal for clients with Crohn's disease. Vanilla milkshake, buttered popcorn, and toast with jelly may exacerbate symptoms due to their high fat, fiber, or sugar content, which can be harder to digest.

5. What is the best snack choice for a preschool-age child?

• A. Fruit snacks
• B. Mini wheat bagel with peanut butter
• C. White toast with jelly
• D. Sports drink

Correct answer: B

Rationale: The best snack choice for a preschool-age child is a mini wheat bagel with peanut butter as it provides a good balance of carbohydrates, protein, and healthy fats. Fruit snacks, although they contain some fruit flavor, are often high in added sugars and lack essential nutrients. White toast with jelly may provide quick energy but lacks protein and healthy fats, which are important for a balanced snack choice. Sports drinks are typically high in sugar and unnecessary for a preschool-age child's snack, as they are designed for rehydration during intense physical activity, not as a regular snack option.

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