Nursing Elites

1. A nurse is instructing a group of clients regarding calcium-rich foods. Which of the following foods should the nurse include in the teaching as the best source of calcium?

• A. 1?2 cup ice cream
• B. 1 ounce Swiss cheese
• C. 1 cup milk
• D. 1 cup cottage cheese

Correct answer: D

Rationale: Cottage cheese is the best source of calcium among the options provided. It is rich in calcium and provides a significant amount per serving. 1 cup of cottage cheese contains more calcium compared to 1?2 cup of ice cream, 1 ounce of Swiss cheese, or 1 cup of milk. Ice cream is not a significant source of calcium and is often high in sugar and fat. Swiss cheese and milk contain calcium, but cottage cheese has a higher calcium content per serving, making it the best choice for meeting calcium needs.

2. A client taking antibiotics develops diarrhea. Which of the following foods should the nurse recommend to include in the client’s diet?

• A. Whole wheat bread
• B. Fresh orange sections
• C. Ice cream
• D. Yogurt

Correct answer: D

Rationale: Yogurt is the correct answer because it contains probiotics that can help restore normal gut flora and reduce antibiotic-associated diarrhea. Whole wheat bread (Choice A) may worsen diarrhea due to its high fiber content. Fresh orange sections (Choice B) are acidic and may irritate the digestive system further. Ice cream (Choice C) is high in sugar and fat, which can exacerbate diarrhea.

3. Where is Vitamin E commonly found?

• A. produced by bacteria in the GI tract
• B. synthesized by the body through sunlight exposure
• C. associated with beriberi deficiency
• D. present in vegetable oils

Correct answer: D

Rationale: Vitamin E is an antioxidant commonly found in sources like vegetable oils, nuts, seeds, and green leafy vegetables. It plays a crucial role in protecting cells from damage. Choices A and B are incorrect as Vitamin E is not produced by bacteria in the GI tract nor synthesized by sunlight exposure. Choice C is incorrect as beriberi is a deficiency of Vitamin B1 (thiamine), not Vitamin E.

4. The working phase in a therapy group is usually characterized by which of the following?

• A. Caution
• B. Cohesiveness
• C. Confusion
• D. Competition

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

5. What is one of the best nutritional actions a caregiver can take to help a patient with Alzheimer's disease maintain appropriate body weight?

• A. Thicken liquids to prevent choking
• B. Supervise food planning and mealtimes
• C. Assist the person in completing a grocery checklist
• D. Feed the person their meals and snacks

Correct answer: B

Rationale: The correct answer is B, 'Supervise food planning and mealtimes'. This action ensures the patient with Alzheimer's disease maintains an appropriate diet and body weight, thus reducing the risk of malnutrition. While choices A, 'Thicken liquids to prevent choking', C, 'Assist the person in completing a grocery checklist', and D, 'Feed the person their meals and snacks', might be beneficial in certain circumstances, they do not directly contribute to the maintenance of appropriate body weight as effectively as supervising food planning and mealtimes does.

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