Nursing Elites

1. What is a major feature of the therapeutic lifestyle changes (TLC) recommended for the treatment of high blood cholesterol?

• A. Avoiding all foods that contain cholesterol
• B. Reducing sodium intake to less than 2 g/day
• C. Limiting total fat intake to less than 30% of energy intake
• D. Limiting saturated fat intake to less than 7% of energy intake

Correct answer: D

Rationale: The correct answer is D, 'Limiting saturated fat intake to less than 7% of energy intake.' This is a central feature of the therapeutic lifestyle changes (TLC) recommended for treating high blood cholesterol. Saturated fats can increase low-density lipoprotein (LDL) cholesterol, a significant risk factor for heart disease. Choice A is incorrect because while it is recommended to limit cholesterol intake, it's not suggested to avoid all foods containing cholesterol entirely in the TLC. Choice B is also incorrect as although reducing sodium intake is beneficial for controlling blood pressure, it's not specifically targeted in the TLC for managing high cholesterol. Lastly, while limiting total fat intake is a healthy guideline, it's not as specific or effective as limiting saturated fat intake, making choice C also incorrect.

2. What is the rationale in the use of bag technique during home visits?

• A. It helps render effective nursing care to clients or other members of the family
• B. It saves time and effort of the nurse in the performance of nursing procedures
• C. It should minimize or prevent the spread of infection from individuals to families
• D. It should not overshadow concerns for the patient

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.

3. Where does most nutrient digestion and absorption occur?

• A. Large intestine
• B. Small intestine
• C. Stomach
• D. Mouth

Correct answer: B

Rationale: The small intestine is the correct answer. It is the primary site for nutrient digestion and absorption in the digestive system. The small intestine plays a crucial role in breaking down carbohydrates, proteins, and fats into forms that can be absorbed by the body. While the large intestine absorbs water and electrolytes, the majority of nutrient absorption occurs in the small intestine. The stomach primarily functions in the initial digestion of proteins, and the mouth begins the mechanical breakdown of food through chewing.

4. A diet high in which nutrient can lead to increased risk of developing kidney stones?

• A. Fiber
• B. Protein
• C. Carbohydrates
• D. Unsaturated fats

Correct answer: B

Rationale: High protein intake can increase the risk of kidney stones due to elevated calcium excretion.

5. Each of the following is a fat-soluble vitamin except for one. Which is the exception?

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

Correct answer: B

Rationale: The correct answer is B, Vitamin C. Vitamin C is a water-soluble vitamin, not fat-soluble. Fat-soluble vitamins are Vitamins A, D, E, and K. These vitamins are stored in the body's fat tissues and liver, unlike water-soluble vitamins which are not stored and are eliminated in urine, making them less likely to reach toxic levels.

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