Nursing Elites

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. The goal of remotivation therapy is to facilitate:

• A. Insight C. Socialization
• B. Productivity D. Intimacy
• C.
• D.

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. A patient is on a low-sodium diet. Which food item should the patient avoid?

• A. Fresh fruit
• B. Canned soup
• C. Whole grain bread
• D. Grilled chicken

Correct answer: B

Rationale: The correct answer is B: Canned soup. Canned soup is commonly high in sodium content, which is not suitable for a patient on a low-sodium diet. Fresh fruit, whole grain bread, and grilled chicken typically have lower sodium levels and can be included in a low-sodium diet. Therefore, the patient should avoid canned soup to adhere to the requirements of a low-sodium diet.

4. A client who 1) _____ diet requires 2) ___ amounts of vitamin C.

• A. A) Follows a vegan diet, B) More
• B. B) Smokes cigarettes, B) More
• C. A) Follows a vegan diet, C) The same
• D. B) Smokes cigarettes, C) The same

Correct answer: B

Rationale: The correct answer is B) Smokes cigarettes, More. Smoking increases the need for vitamin C as it can deplete the body's vitamin C levels. Vegan diets, on the other hand, require more vitamin C for optimal absorption due to the absence of heme iron, which enhances non-heme iron absorption. Choices A and C are incorrect because vegan diets require more vitamin C, while smoking increases the need for vitamin C.

5. Worldwide, what is the most common nutrient deficiency?

• A. magnesium deficiency
• B. iron deficiency
• C. selenium deficiency
• D. zinc deficiency

Correct answer: B

Rationale: Iron deficiency is the most common nutrient deficiency globally. It leads to anemia and affects many populations, especially women and children. Magnesium, selenium, and zinc deficiencies are important, but they are not as prevalent as iron deficiency on a global scale.

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