Nursing Elites

1. A client with a seizure disorder is under the care of a nurse. Which of the following precautions should the nurse include in the plan?

• A. Place a padded tongue depressor at the bedside.
• B. Keep the bed in the lowest position.
• C. Restrain the client during a seizure.
• D. Keep the lights dim in the client's room.

Correct answer: B

Rationale: Keeping the bed in the lowest position is crucial for ensuring the safety of the client during a seizure. Lowering the bed reduces the risk of injury if the client falls during a seizure episode. It is important not to restrain the client during a seizure as it can lead to further injury. Placing a padded tongue depressor at the bedside is not appropriate and can pose a risk of injury if used incorrectly. Keeping the lights dim in the client's room is not directly related to safety during a seizure and is not a standard precaution.

2. A client with hypertension is being educated by a healthcare professional about lifestyle changes. Which of the following statements by the client indicates an understanding of the teaching?

• A. I should consume foods low in potassium.
• B. I should consume foods low in sodium.
• C. I should consume foods high in saturated fats.
• D. I should consume foods high in cholesterol.

Correct answer: B

Rationale: The correct answer is B: 'I should consume foods low in sodium.' This statement indicates an understanding of managing hypertension. Excessive sodium intake can lead to increased blood pressure, so reducing sodium consumption is crucial in hypertension management to prevent complications. Choices A, C, and D are incorrect. Consuming foods low in potassium is not typically recommended for hypertension management as potassium-rich foods like fruits and vegetables can be beneficial. Consuming foods high in saturated fats and cholesterol can be detrimental to cardiovascular health and should be limited in individuals with hypertension.

3. A client has a new prescription for a low-fat diet. Which of the following foods should be recommended?

• A. Bacon
• B. Whole milk
• C. Chicken breast
• D. Cheese

Correct answer: C

Rationale: When following a low-fat diet, it is essential to choose foods that are low in fat. Chicken breast is a lean protein source that is low in fat, making it a suitable option for a low-fat diet. Bacon, whole milk, and cheese are higher in fat content and should be avoided or limited in a low-fat diet. Bacon is high in saturated fat, whole milk contains significant amounts of fat, including saturated fat, and cheese is also high in fat. Therefore, these options are not ideal for a low-fat diet.

4. Following a total hip arthroplasty, what intervention should the healthcare provider implement for the client?

• A. Place a pillow between the client's legs.
• B. Elevate the head of the bed to 45 degrees.
• C. Position the client on the operative side.
• D. Keep the client’s legs adducted.

Correct answer: A

Rationale: Placing a pillow between the client's legs is crucial post hip arthroplasty surgery to prevent hip dislocation. This intervention helps maintain proper alignment and prevents legs from crossing midline, reducing the risk of hip prosthesis dislocation. Elevating the head of the bed to 45 degrees, positioning the client on the operative side, or keeping the client's legs adducted are not recommended postoperative interventions for a total hip arthroplasty, as they can increase the risk of complications and compromise the surgical site.

5. A healthcare provider is planning care for a client who has a new prescription for a high-fiber diet. Which of the following foods should the healthcare provider recommend?

• A. White bread
• B. Canned fruit
• C. Cheese
• D. Brown rice

Correct answer: D

Rationale: Brown rice is a whole grain that is high in fiber, making it an excellent choice for a high-fiber diet. Foods like white bread, canned fruit, and cheese are typically low in fiber and would not be the best recommendation for a high-fiber diet. White bread is processed and lacks the fiber content found in whole grains like brown rice. Canned fruit, although containing some fiber, often has added sugars and lower fiber content compared to fresh fruits. Cheese is a dairy product that is generally low in fiber and not a significant source of dietary fiber compared to whole grains.

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