Nursing Elites

1. A dental hygienist finds several new carious lesions in a patient with chronic obstructive respiratory disease (COPD). While conducting the medical and dental histories, the dental hygienist is most likely to find an increased use of which of the following?

• A. Protein
• B. Cough drops
• C. Fluoride
• D. Xylitol

Correct answer: B

Rationale: The correct answer is B: Cough drops. Patients with COPD often use cough drops to manage their symptoms, which can lead to an increase in carious lesions due to their sugar content. Choices A, C, and D are incorrect as protein, fluoride, and xylitol are not typically associated with an increased risk of carious lesions in patients with COPD.

2. Which nutrient is critical for wound healing and immune function?

• A. Vitamin B12
• B. Vitamin C
• C. Vitamin D
• D. Vitamin K

Correct answer: B

Rationale: Vitamin C is essential for collagen formation and immune function.

3. What condition has been shown to be associated with esophageal dysphagia?

• A. myasthenia gravis
• B. achalasia
• C. Alzheimer's disease
• D. cerebral palsy

Correct answer: B

Rationale: Achalasia is the correct answer. It is a condition characterized by the esophagus having difficulty moving food toward the stomach, resulting in dysphagia (difficulty swallowing). Myasthenia gravis (Choice A) is a neuromuscular disorder that affects skeletal muscles, not the esophagus. Alzheimer's disease (Choice C) primarily affects cognitive function, not the esophagus. Cerebral palsy (Choice D) is a neurological disorder affecting body movement and muscle coordination, unrelated to esophageal dysphagia.

4. Which dietary approach is most beneficial for managing hypertension?

• A. Increasing caffeine intake
• B. Reducing sodium intake
• C. Increasing dietary cholesterol
• D. Reducing fiber intake

Correct answer: B

Rationale: Reducing sodium intake is the most beneficial dietary approach for managing hypertension. High sodium intake can lead to increased blood pressure, so lowering sodium intake is crucial in managing hypertension. Choices A, C, and D are incorrect because increasing caffeine intake, dietary cholesterol, or reducing fiber intake are not recommended dietary approaches for managing hypertension and may even have adverse effects on blood pressure levels.

5. Nurse Minette needs to schedule a first home visit to OB client Leah. When is a first home-care visit typically made?

• A. Within 4 days after discharge
• B. Within 24 hours after discharge
• C. Within 1 hour after discharge
• D. Within 1 week of discharge

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

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