Nursing Elites

1. A nurse is caring for a client who is lactose intolerant. Which of the following clinical manifestations should the nurse assess be?

• A. Fever
• B. Blood stools
• C. Cramping
• D. Steatorrhea

Correct answer: C

Rationale: Cramping is a common clinical manifestation of lactose intolerance due to the inability to digest lactose properly.

2. A nurse is planning care for a toddler who has burns over 50% total body surface area. Which of the following actions should the nurse include in the plan of care?

• A. Administer enteral feedings
• B. Limit intake of vitamin C
• C. Limit dietary protein
• D. Administer insulin prior to meals

Correct answer: A

Rationale: Administering enteral feedings ensures adequate nutrition and supports healing in toddlers with extensive burns.

3. A nurse is teaching about diet modification to a client who is breastfeeding. Which of the following statements by the client indicates an understanding of the teaching?

• A. I should drink an 8 ounce glass of water each time my baby nurses.
• B. I should take a 1500 milligram iron supplement daily.
• C. I can eat a 2500 calorie daily diet lose 1 lb per week.
• D. I can eat ounces of swordfish daily.

Correct answer: A

Rationale: Drinking an 8 ounce glass of water each time the baby nurses helps maintain hydration and support milk production.

4. A nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery. The nurse should recognize that which of the following medications places the client at risk for wound dehiscence?

• A. Omeprazole
• B. Zolmitriptan
• C. Prednisone
• D. Verapamil

Correct answer: C

Rationale: Prednisone is a corticosteroid that can impair wound healing and increase the risk of wound dehiscence.

5. A nurse is reinforcing dietary teaching with a client who has vitamin A deficiency. Which of the following food choices should the nurse recommend the best source of vitamin A?

• A. 1 small baked sweet potato
• B. 1 cup avocado
• C. 1 cup green beans
• D. 1 large apple

Correct answer: A

Rationale: Sweet potatoes are rich in beta-carotene, which the body converts into vitamin A, essential for vision and immune function.

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