Nursing Elites

1. A nurse at a provider's office is providing teaching to a client who is taking chemotherapy and losing weight. Which of the following should the nurse recommend to increase calorie and protein intake? (Select one that does not apply.)

• A. Top yogurt with fruits.
• B. Add cream to soups.
• C. Use milk instead of water in recipes.
• D. Increase fluids during meals.

Correct answer: D

Rationale: The correct recommendation to increase calorie and protein intake for a client taking chemotherapy and losing weight is to add cream to soups (choice B), as it provides additional calories and proteins. Using milk instead of water in recipes (choice C) can also increase the calorie and protein content. Topping yogurt with fruits (choice A) can be a healthy choice but may not significantly increase calorie and protein intake. Increasing fluids during meals (choice D) may fill up the stomach, potentially reducing the intake of solid foods, which is not ideal when trying to increase calorie and protein consumption.

2. An imbalance of which nutrient may elicit delayed tooth eruption, enlarged tongue, stillbirths, altered craniofacial growth, sensitivity to cold, dry skin, depression, and goiter?

• A. Zinc
• B. Iron
• C. Sodium
• D. Potassium

Correct answer: B

Rationale: The correct answer is B: Iron. The provided extract mentions that iodine deficiency can cause delayed tooth eruption, enlarged tongue, stillbirths, altered craniofacial growth, sensitivity to cold, dry skin, depression, and goiter. Zinc, Sodium, and Potassium are not associated with these specific symptoms. Zinc deficiency can lead to other health issues but not the ones mentioned. Sodium and Potassium imbalances do not typically result in the symptoms described in the question.

3. Which of the following best describes Primary Nursing?

• A. Assigning a nurse to lead a team of registered nurses in the care of a patient from admission to discharge
• B. Assigning a nurse to perform administrative tasks in a healthcare setting
• C. Assigning a nurse to provide medical treatment without supervision
• D. Assigning a nurse to be the main caregiver responsible for coordinating all aspects of care for a group of patients

Correct answer: A

Rationale: Primary Nursing involves assigning a dedicated nurse to lead a team of registered nurses in the care of a patient from admission to discharge. This approach ensures continuity and personalized care. Choices B and C are incorrect as they do not accurately describe Primary Nursing. Choice D is incorrect as it refers to a different care delivery model.

4. 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.

5. While evaluating the meal choices of a client with major depressive disorder and a prescription of Phenelzine, which of the following selections should the nurse identify as appropriate?

• A. Cheddar cheese
• B. Smoked salmon
• C. Strawberry yogurt
• D. Pepperoni pizza

Correct answer: C

Rationale: The correct answer is C, 'Strawberry yogurt.' This choice is appropriate because it does not contain high levels of tyramine, which can lead to a dangerous interaction with Phenelzine, a monoamine oxidase inhibitor. Tyramine-rich foods, like aged cheeses (such as cheddar cheese) and cured meats (like smoked salmon and pepperoni), should be avoided by individuals taking Phenelzine to prevent hypertensive crisis. Strawberry yogurt is a safer option for the client in this scenario.

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