Nursing Elites

1. A healthcare professional is preparing a list of resources in a community where nutritional status is significantly influenced by economics. What should the professional recommend?

• A. Public service announcement on healthy eating
• B. Educational programs on food safety
• C. The MyPyramid food guidance system
• D. The Supplemental Nutrition Assistance Program (SNAP)

Correct answer: D

Rationale: The correct answer is D, the Supplemental Nutrition Assistance Program (SNAP). SNAP provides financial assistance to help low-income individuals purchase food, directly addressing economic barriers to nutrition. Choices A, B, and C do not directly address the economic aspect of the community's nutritional status. A public service announcement on healthy eating may raise awareness but does not provide financial assistance. Educational programs on food safety focus on a different aspect of nutrition. The MyPyramid food guidance system is a tool for healthy eating but does not address the economic challenges faced by the community.

2. Myxedema coma is a life-threatening complication of long-standing and untreated hypothyroidism with one of the following characteristics.

• A. Hyperglycemia
• B. Hypothermia
• C. Hyperthermia
• D. Hypoglycemia

Correct answer: A

Rationale: Myxedema coma is associated with hypothermia, not hyperthermia. Therefore, the correct characteristic of myxedema coma is hypothermia. This condition is a medical emergency that requires prompt recognition and intervention to prevent serious complications. The presence of hyperglycemia is not a defining characteristic of myxedema coma, making choice A the correct answer in this case. Hyperthermia and hypoglycemia are not typically seen in myxedema coma and are not consistent with the clinical presentation of this condition.

3. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer?

• A. Prostaglandins released from the cut fallopian tubes can kill sperm
• B. Sperm cannot enter the uterus because the cervical entrance is blocked
• C. Sperm can no longer reach the ova, because the fallopian tubes are blocked
• D. The ovary no longer releases ova as there is nowhere for them to go

Correct answer: C

Rationale: The correct answer is C: 'Sperm can no longer reach the ova because the fallopian tubes are blocked.' Tubal ligation works by blocking the fallopian tubes, preventing sperm from reaching the egg for fertilization. Choice A is incorrect because prostaglandins are not released from the cut fallopian tubes to kill sperm. Choice B is incorrect as the cervical entrance being blocked does not relate to tubal ligation. Choice D is incorrect because tubal ligation does not affect the release of ova from the ovary.

4. To ensure client safety before starting blood transfusions, the following are needed before the procedure can be done EXCEPT:

• A. take baseline vital signs
• B. warm the blood to room temperature for 30 minutes before administering the transfusion
• C. have two nurses verify client identification, blood type, unit number, and expiration date of blood
• D. get consent signed for blood transfusion

Correct answer: D

Rationale: To ensure client safety before starting blood transfusions, taking baseline vital signs, warming the blood to room temperature, and having two nurses verify client identification, blood type, unit number, and expiration date of blood are crucial steps. Consent for blood transfusion is required but is typically obtained before the procedure. The focus before the procedure should be on confirming the right client, blood product, and ensuring the blood is prepared correctly to minimize risks of transfusion reactions.

5. Which statement by a client indicates a need for further teaching about food safety?

• A. I will use the food before the expiration date listed on the package.
• B. I will wash my strawberries before I eat them.
• C. I will drink unpasteurized milk as it has many gut-healthy probiotics.
• D. I will wash my hands after I prepare raw chicken.

Correct answer: C

Rationale: The correct answer is C because drinking unpasteurized milk can contain harmful bacteria, which poses a risk to food safety. Choice A is correct as it emphasizes using food before the expiration date. Choice B is also correct as washing fruits before consumption is a good food safety practice. Choice D is correct as well since washing hands after handling raw chicken is crucial to prevent cross-contamination. Therefore, choice C is the only statement that indicates a need for further teaching on food safety.

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