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1. A client with Crohn's disease is receiving parenteral nutrition. Which of the following interventions should the nurse not include in the care of this client?
- A. Remove the parenteral nutrition solution from the refrigerator 2 hours before infusion.
- B. Remove unused parenteral nutrition after 12 hours of use.
- C. Monitor daily laboratory values and report abnormalities as needed.
- D. Monitor the flow rate of the parenteral nutrition carefully and adjust it if necessary.
Correct answer: B
Rationale: In caring for a client receiving parenteral nutrition, it is important to follow proper guidelines to ensure safety and effectiveness. Unused parenteral nutrition should be removed after 24 hours, not 12 hours, to prevent contamination and reduce the risk of infection. Option A is correct as it ensures the solution is at room temperature before infusion. Option C is essential for monitoring the client's response to parenteral nutrition. Option D is important to maintain the correct flow rate and adjust it as needed. Therefore, option B is the incorrect choice among the options provided.
2. Which of the following is a common sign of vitamin D deficiency?
- A. Brittle nails
- B. Muscle weakness
- C. Night blindness
- D. Hair loss
Correct answer: B
Rationale: Muscle weakness is a common sign of vitamin D deficiency. Vitamin D is essential for calcium absorption and bone health, and its deficiency can lead to muscle weakness. Brittle nails (Choice A) are not typically associated with vitamin D deficiency. Night blindness (Choice C) is related to vitamin A deficiency, not vitamin D deficiency. Hair loss (Choice D) can be linked to various factors, but it is not a common sign of vitamin D deficiency.
3. What is the term for a condition where one or more members of a household, including children, consistently have little or no food due to lack of money?
- A. Marginal Food Security
- B. Food Desert
- C. Very Low Food Security
- D. Food Insecurity
Correct answer: D
Rationale: The correct answer is 'D: Food Insecurity'. This term specifically describes a situation where household members consistently have inadequate access to food due to financial constraints. 'Marginal Food Security' (Choice A) refers to a situation where the quality or variety of food is reduced, but there is no significant decrease in food intake. A 'Food Desert' (Choice B) is an area with limited access to affordable and nutritious food. 'Very Low Food Security' (Choice C) is a term used to describe a severe level of food insecurity where eating patterns of household members are disrupted and food intake is reduced.
4. What is your estimate of the population of pregnant woman needing tetanus toxoid vaccination?
- A. 632.5 C. 450.5
- B. 512.5 D. 332.5
- C.
- D.
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.
5. With which type of cancer is asbestos exposure most strongly associated?
- A. Liver cancer
- B. Peritoneal cancer
- C. Skin cancer
- D. Esophageal cancer
Correct answer: B
Rationale: Asbestos exposure is most strongly associated with peritoneal cancer, a type of cancer that affects the lining of the abdomen. While asbestos can potentially contribute to other types of cancer, there is a significant body of research indicating a robust correlation between asbestos exposure and peritoneal cancer. Asbestos exposure can also lead to mesothelioma, a cancer that affects the lining of the chest. The other options - liver cancer, skin cancer, and esophageal cancer - are not typically associated with asbestos exposure.
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