Nursing Elites

1. A client who underwent surgical placement of a colostomy is being cared for by a nurse. Which of the following statements indicates the client understands the dietary teaching?

• A. "Eating yogurt can help decrease the amount of gas that I have."?
• B. "I should eliminate pasta from my diet so that I don't have as many loose stools."?
• C. "My largest meal of the day should be in the evening."?
• D. "Carbonated beverages can help control odor."?

Correct answer: D

Rationale: The correct answer is D. Carbonated beverages can help control odor in clients with colostomies. This is because carbonated drinks can help decrease odor by reducing the production of odoriferous compounds in the colon. Choices A, B, and C are incorrect. Eating yogurt may help regulate bowel movements but does not specifically address odor control associated with colostomies. Eliminating pasta from the diet to reduce loose stools is not necessary for colostomy care. The timing of the largest meal of the day is not directly related to dietary teaching for colostomy care.

2. What term is used to refer to the beliefs, ideals, and values that direct an organization and give it a sense of purpose?

• A. Philosophy
• B. Mission
• C. Vision
• D. Goals and Objectives

Correct answer: C

Rationale: The correct term for the beliefs, ideals, and values that direct an organization and provide it with a sense of purpose is 'Vision'. A Vision statement outlines the organization's aspirations and goals for the future. Choices A, B, and D are incorrect in this context. 'Philosophy' refers to a system of beliefs or principles, 'Mission' relates to the organization's purpose and primary objectives, and 'Goals and Objectives' are the specific targets set to accomplish the Vision.

3. When performing endotracheal suctioning, the nurse applies suctioning while withdrawing and gently rotating the catheter 360 degrees for which of the following time periods?

• A. 10-15 seconds
• B. 30-35 seconds
• C. 20-25 seconds
• D. 0-5 seconds

Correct answer: D

Rationale: During endotracheal suctioning, the nurse should apply suctioning while withdrawing and gently rotating the catheter 360 degrees for a short period of 0-5 seconds. This brief duration helps minimize the risk of hypoxia and trauma to the airway. Choices A, B, and C suggest longer time periods for suctioning, which can increase the risk of complications such as hypoxia, mucosal damage, and the removal of excess amounts of airway secretions.

4. Which type of immunity is demonstrated by the transfer of a mother's immunoglobulin across the placenta to protect the child?

• A. Natural active immunity
• B. Natural passive immunity
• C. Artificial active immunity
• D. Artificial passive immunity

Correct answer: B

Rationale: The immunoglobulin passed from the mother to the child through the placenta is an example of natural passive immunity, making choice B the correct answer. This transfer gives the child temporary immunity to various diseases without their immune system having to work. On the other hand, natural active immunity (Choice A) occurs when the body produces its own antibodies in response to an antigen. Artificial active immunity (Choice C) is achieved through vaccinations, where the immune system is stimulated to produce antibodies against a specific disease. Artificial passive immunity (Choice D) is a temporary immunity that involves the transfer of pre-formed antibodies from another source.

5. Nutrients that may help decrease high blood pressure levels include:

• A. magnesium and sodium
• B. protein and monounsaturated fat
• C. calcium and potassium
• D. dietary fiber and plant sterols

Correct answer: C

Rationale: Calcium and potassium play vital roles in regulating blood pressure, with potassium helping to balance the negative effects of sodium.

Similar Questions