Nursing Elites

1. A nurse is developing an education program for a community group about dietary intake of vitamins and minerals in the diet. The nurse should include which of the following foods as sources of vitamin C? (Select the food that does not apply.)

• A. Green pepper
• B. Orange
• C. Cabbage
• D. Milk

Correct answer: D

Rationale: The correct answer is E: Milk. Milk is not a significant source of vitamin C. Choices A, B, C, and D are all good sources of vitamin C. Green pepper, orange, cabbage, and strawberries contain vitamin C and can be included in the diet to meet the body's need for this essential vitamin. Milk, on the other hand, is not known for its vitamin C content, so it does not apply as a source of this particular vitamin.

2. A client newly diagnosed with hypertension is receiving teaching about the Mediterranean diet from a nurse. Which of the following statements by the client indicates a need for further teaching?

• A. I will limit my intake of red meat to twice weekly.
• B. I can have dairy in moderate portions daily.
• C. I can have fish two times a week.
• D. I can drink wine in moderation.

Correct answer: D

Rationale: The correct answer is D. Patients with hypertension should be advised to limit alcohol consumption, including wine, to help manage their blood pressure. Choices A, B, and C are all consistent with the Mediterranean diet and are appropriate for a client with hypertension. Reducing red meat intake, consuming dairy in moderate portions, and having fish regularly align with the principles of this heart-healthy eating pattern.

3. During which stage of life is it most critical to build bone mass to prevent osteoporosis?

• A. Infancy
• B. Early childhood
• C. Adolescence
• D. Young adulthood

Correct answer: C

Rationale: Adolescence is the most critical stage for building bone mass, which plays a significant role in preventing osteoporosis in later life. During adolescence, approximately 45% of adult bone mass is formed. Although bone mass can be built during infancy, early childhood, and young adulthood, it is not as significant as during adolescence, making choices A, B, and D incorrect. Therefore, focusing on adequate nutrition and physical activity during adolescence is vital for long-term bone health.

4. Which nutrient is most closely associated with the prevention of neural tube defects in a developing fetus for a woman planning to become pregnant?

• A. Calcium
• B. Folate
• C. Vitamin A
• D. Choline

Correct answer: B

Rationale: The correct answer is folate. Folate, also known as Vitamin B9, is vital for the prevention of neural tube defects in the developing fetus. It is primarily responsible for the creation and repair of DNA, which is essential during rapid growth stages such as pregnancy. While nutrients like calcium, vitamin A, and choline are important for pregnancy, they are not as directly linked to preventing neural tube defects as folate. Calcium is crucial for the baby's bone and teeth development. Vitamin A is essential for vision, immune function, and cellular growth. Choline supports brain development and neural functioning. However, none of these nutrients have the same direct impact on preventing neural tube defects as folate.

5. What special consideration should be taken into account when Mario prepares Richard for postural drainage and percussion?

• A. Monitoring a respiratory rate of 16 to 20 per minute
• B. Assessing the client's ability to tolerate sitting and lying positions
• C. Ensuring the client is free of signs of infection
• D. Knowing the time of the client's last food and fluid intake

Correct answer: A

Rationale: The correct answer is A, 'Monitoring a respiratory rate of 16 to 20 per minute'. When performing postural drainage and percussion, it is crucial to monitor the respiratory rate to ensure the safety and effectiveness of the procedure. Choice B, 'Assessing the client's ability to tolerate sitting and lying positions', while important, is not directly related to the specifics of postural drainage and percussion. Similarly, option C, 'Ensuring the client is free of signs of infection', although important, is not directly linked to the procedure. Option D, 'Knowing the time of the client's last food and fluid intake', might be relevant for other procedures, but it is not the primary consideration for postural drainage and percussion.

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