Nursing Elites

1. A nurse in a prenatal clinic is educating a client about expected changes during pregnancy. The nurse should instruct the client about which change during pregnancy is related to the slowing of the gastrointestinal tract?

• A. Diarrhea
• B. Constipation
• C. Decreased absorption of iron
• D. Decreased absorption of calcium

Correct answer: B

Rationale: During pregnancy, the hormonal changes can lead to the slowing down of the gastrointestinal tract, causing constipation. This occurs due to increased progesterone levels, which relax smooth muscles, including those in the intestines, leading to slower bowel movements. Diarrhea is not typically associated with the slowing of the gastrointestinal tract during pregnancy. While there may be changes in the absorption of nutrients like iron and calcium, they are not directly related to the slowing of the gastrointestinal tract.

2. Nurse Edna thinks that the patient is somewhat like his father. She then identifies positive feeling for the patient that affects the objectivity of her nursing care. This emotional reaction is called:

• A. Transference
• B. Counter Transference
• C. Reaction formation
• D. Sympathy

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

3. To prevent recurrent attacks on client with glomerulonephritis, the nurse instructs the client to:

• A. Take a shower instead of tub baths
• B. Avoid situations that involve physical activity
• C. Continue the same restriction on fluid intake
• D. Seek early treatment for respiratory infection

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.

4. The substance that is most supportive of bones and teeth is:

• A. Hemoglobin
• B. Collagen
• C. Insulin
• D. Pepsin

Correct answer: B

Rationale: Collagen is a key structural protein in bones and teeth, providing support and strength.

5. Ms. Maria Salvacion says that she is the incarnation of the holy Virgin Mary. She said that she is the child of the covenant that would save this world from the evil forces of Satan. One morning, while caring for her, she stood in front of you and said “Bow down before me! I am the holy mother of Christ! I am the blessed Virgin Mary!” The best response by the Nurse is:

• A. Tell me more about being the Virgin Mary
• B. So, You are the Virgin Mary?
• C. Excuse me but, you are not anymore a Virgin so you cannot be the Blessed Virgin Mary.
• D. You are Maria Salvacion

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

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