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. How would protein deficiency likely affect dental tissues?

• A. Decreased resistance to dental caries
• B. Increased tooth size
• C. Delayed tooth development
• D. Increased enamel mineralization

Correct answer: C

Rationale: Protein deficiency can lead to delayed tooth development as the body may not have enough resources to form teeth properly. This delay can make the teeth more susceptible to dental issues due to incomplete formation. Choices A, B, and D are incorrect. Decreased resistance to dental caries is more related to factors like poor oral hygiene and sugary diets, increased tooth size is not a common effect of protein deficiency on dental tissues, and increased enamel mineralization is not typically associated with protein deficiency.

3. A nurse is providing teaching to a group of older adults about sources of complete and incomplete protein. Which of the following foods should the nurse include as a complete protein?

• A. Yogurt
• B. Fresh vegetables
• C. Nuts
• D. Dried Beans

Correct answer: A

Rationale: Yogurt is the correct answer as it is a complete protein source, containing all nine essential amino acids. Fresh vegetables, nuts, and dried beans are incomplete protein sources as they lack one or more essential amino acids required by the body.

4. During the first 24 hours of burn, nursing measures should focus on which of the following?

• A. I and O hourly
• B. Strict aseptic technique
• C. Forced oral fluids
• D. Isolate the patient

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.

5. Which nutrient is most important for pregnant women to prevent neural tube defects?

• A. Iron
• B. Folate
• C. Calcium
• D. Vitamin D

Correct answer: B

Rationale: Folate (or folic acid) is crucial for the prevention of neural tube defects during pregnancy.

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