Nursing Elites

1. A nurse is caring for a client who is to receive a mechanically altered diet. Which of the following client food choices necessitates intervention by the nurse?

• A. Scrambled eggs
• B. Cottage cheese
• C. Piece of wheat toast
• D. Sliced banana

Correct answer: D

Rationale: The correct answer is 'Sliced banana.' A mechanically altered diet is designed for clients who have difficulty chewing or swallowing. Sliced bananas, due to their texture and potential choking hazard for clients with swallowing difficulties, would necessitate intervention by the nurse. Scrambled eggs, cottage cheese, and a piece of wheat toast are softer and safer options for clients on a mechanically altered diet, making them appropriate choices.

2. Which breakfast item should be recommended for a vegan adolescent to combine protein?

• A. Bagel with cream cheese
• B. Wheat toast with jelly
• C. Oatmeal pancakes with peanut butter
• D. Eggs with tofu bacon

Correct answer: C

Rationale: Oatmeal pancakes with peanut butter provide a protein combination suitable for a vegan diet.

3. A client who was normal weight before pregnancy asks about the recommended weight gain during pregnancy. What should the nurse advise?

• A. 18-40 pounds
• B. 25-35 pounds
• C. 11-20 pounds
• D. 15-25 pounds

Correct answer: B

Rationale: The correct answer is B: 25-35 pounds. According to standard prenatal guidelines, a client with a normal pre-pregnancy weight is recommended to gain between 25-35 pounds during pregnancy. This weight gain is important for the overall health of the mother and the developing baby. Choices A, C, and D are incorrect because they do not fall within the recommended weight gain range for a client with a normal pre-pregnancy weight.

4. What describes a criterion used to diagnose diabetes?

• A. a plasma glucose concentration of 100 mg/dL or higher after a fast of at least 12 hours
• B. a casual blood sample of 200 mg/dL or higher in a person with classic symptoms
• C. a plasma glucose concentration measured two hours after a 200-gram glucose load is 400 mg/dL or higher
• D. a HbA1C higher than 5 percent

Correct answer: B

Rationale: A casual blood sample of 200 mg/dL or higher in a person with classic symptoms is a diagnostic criterion for diabetes. This choice aligns with the typical clinical presentation of diabetes and is a key diagnostic indicator. Choices A, C, and D do not accurately reflect the established criteria for diagnosing diabetes, making them incorrect. Choice A pertains to a fasting plasma glucose level, Choice C involves a glucose challenge test, and Choice D refers to HbA1C levels, which are used for monitoring blood sugar control over time, not for diagnosing diabetes.

5. What factor has been shown to contribute to poor nutritional health among adolescents?

• A. Most teens choose fruit juice and milk over soda
• B. Many teens consume energy drinks on a regular basis
• C. Teens have busy schedules and rarely drink fluids throughout the day
• D. Teens are more likely to consume low-fat milk

Correct answer: B

Rationale: The correct answer is B because many teens regularly consume energy drinks, which can contribute to poor nutritional health due to their high sugar and caffeine content, leading to unhealthy dietary patterns. Choice A is incorrect because choosing fruit juice and milk over soda would generally be considered a healthier choice. Choice C is incorrect as busy schedules leading to inadequate fluid intake might impact hydration but not necessarily poor nutritional health. Choice D is also incorrect as consuming low-fat milk is not typically a significant factor contributing to poor nutritional health among adolescents.

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