Nursing Elites

1. A healthcare professional is assessing a client who has chronic pain. Which of the following findings should the healthcare professional expect?

• A. Hypotension
• B. Tachycardia
• C. Hyperthermia
• D. Depression

Correct answer: D

Rationale: The correct answer is D: Depression. Chronic pain is often associated with psychological effects like depression. Patients with chronic pain may experience feelings of hopelessness, helplessness, and despair, which are characteristic of depression. While chronic pain can lead to changes in vital signs like increased blood pressure and heart rate, hypotension, tachycardia, or hyperthermia are not typically expected findings solely due to chronic pain. Therefore, the healthcare professional should be alert to signs of depression in clients with chronic pain and address these psychological impacts appropriately.

2. A client with a new diagnosis of osteoporosis is being taught about dietary management. Which of the following statements should be included in the teaching?

• A. You should increase your intake of calcium-rich foods.
• B. You should decrease your intake of potassium-rich foods.
• C. You should avoid foods that contain vitamin D.
• D. You should increase your intake of high-sodium foods.

Correct answer: A

Rationale: The correct answer is A: 'You should increase your intake of calcium-rich foods.' Increasing intake of calcium-rich foods is essential for managing osteoporosis because calcium is necessary for bone health and density. Adequate calcium intake can help prevent further bone loss and reduce the risk of fractures in individuals with osteoporosis. Choices B, C, and D are incorrect. Decreasing intake of potassium-rich foods is not necessary for osteoporosis management. Avoiding foods that contain vitamin D is counterproductive since vitamin D is essential for calcium absorption. Increasing intake of high-sodium foods is not recommended as it can contribute to bone loss and negatively impact bone health.

3. A client with a new diagnosis of COPD is being taught about dietary management. Which of the following statements should be included in the teaching?

• A. You should increase your intake of high-calorie foods.
• B. You should decrease your intake of high-protein foods.
• C. You should avoid foods that contain lactose.
• D. You should increase your intake of high-fiber foods.

Correct answer: A

Rationale: The correct statement to include in the teaching for a client with a new diagnosis of COPD is that they should increase their intake of high-calorie foods. This is important to help maintain energy levels and manage weight. COPD can lead to increased energy expenditure due to the increased work of breathing, making it crucial to consume adequate calories for energy. High-calorie foods can help prevent weight loss and support overall nutritional status in COPD patients. Choice B is incorrect because high-protein foods are important for maintaining muscle mass in COPD patients. Choice C is incorrect as there is no need to avoid foods that contain lactose unless the client is lactose intolerant. Choice D is incorrect as increasing high-fiber foods may exacerbate symptoms like bloating and gas in COPD patients.

4. A client with a new diagnosis of diverticulitis is being taught dietary management by a healthcare provider. Which of the following statements should the provider include in the teaching?

• A. You should increase your intake of high-fiber foods.
• B. You should avoid foods that contain lactose.
• C. You should decrease your intake of high-fiber foods.
• D. You should increase your intake of dairy products.

Correct answer: A

Rationale: Increasing intake of high-fiber foods is essential in managing diverticulitis as it promotes regular bowel movements and prevents constipation, reducing the risk of complications and improving overall digestive health. Choice B is incorrect because lactose intolerance is different from diverticulitis and avoiding lactose is not a standard recommendation for diverticulitis. Choice C is incorrect as decreasing high-fiber foods would be counterproductive for managing diverticulitis. Choice D is wrong because increasing dairy products is not a primary dietary recommendation for diverticulitis management.

5. A nurse is caring for a client who has a new prescription for a low-cholesterol diet. Which of the following foods should the nurse recommend?

• A. Eggs
• B. Cheese
• C. Chicken breast
• D. Butter

Correct answer: C

Rationale: Chicken breast is a suitable recommendation for a low-cholesterol diet as it is low in cholesterol. Eggs and cheese are high in cholesterol and not suitable for a low-cholesterol diet. Butter is also high in cholesterol and should be avoided in a low-cholesterol diet.

Similar Questions