Nursing Elites

1. A nurse is planning care for a client who practices Islam and is currently observing dietary restrictions for the month of Ramadan. Which of the following interventions should the nurse include in the plan of care?

• A. Remove beef products from the dietary plan
• B. Facilitate fasting during daylight hours
• C. Serve meat and dairy items separately
• D. Provide a strictly vegetarian diet on Fridays

Correct answer: B

Rationale: Facilitating fasting during daylight hours respects the dietary practices of clients observing Ramadan.

2. 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.

3. A nurse is reviewing the lab results of a client who has bulimia nervosa. The nurse should notify the provider of which of the following results?

• A. White Blood Cells 5,200/mm3
• B. Hemoglobin 14
• C. Magnesium 1.6
• D. Potassium 3.2

Correct answer: D

Rationale: A potassium level of 3.2 is below normal and requires provider notification, especially in clients with bulimia nervosa who may have electrolyte imbalances.

4. A nurse is caring for a client who is receiving chemotherapy treatments. The client states, 'I feel so nauseated after my treatments.' Which of the following instructions should the nurse provide the client?

• A. Common foods that are served cold.
• B. Sip fluids slowly throughout the day.
• C. Sit up for 1 hr after eating meals.
• D. All of the Above

Correct answer: D

Rationale: Common foods served cold, sitting up after meals, and sipping fluids slowly can help manage nausea associated with chemotherapy.

5. A nurse is caring for four clients. The nurse should plan to administer total parenteral nutrition for which of the following clients?

• A. A client who is postoperative following a laminectomy and is receiving IV PCA
• B. A client who has dysphagia and does not recognize his family
• C. A client who has COPD and is going home with oxygen
• D. A client who has colon cancer and will undergo a hemicolectomy

Correct answer: D

Rationale: Total parenteral nutrition (TPN) is essential for clients undergoing significant surgical procedures like a hemicolectomy to ensure they receive adequate nutrition when oral intake is not possible.

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