Nursing Elites

1. A client with cholecystitis is being taught about required dietary modifications. Which of the following foods is appropriate for the client's diet?

• A. Creamed chicken
• B. Roast turkey
• C. Ice cream
• D. Macaroni and cheese

Correct answer: B

Rationale: Roast turkey is the most appropriate choice for a client with cholecystitis. Foods that are high in fat content, like creamed chicken, ice cream, and macaroni and cheese, should be avoided in cholecystitis as they can exacerbate symptoms due to the reduced ability of the gallbladder to process fats. Roast turkey is a leaner option that is better tolerated by individuals with cholecystitis.

2. Furosemide (Lasix) is a drug used to _____.

• A. activate vitamin D
• B. stimulate appetite
• C. lower cholesterol
• D. mobilize fluids

Correct answer: D

Rationale: Furosemide is a diuretic that helps mobilize fluids by increasing urine output, often used to treat conditions like edema and heart failure.

3. Disposal of medical records in government hospitals/institutions must be done in close coordination with what agency?

• A. Department of Interior and Local Government (DILG)
• B. Metro Manila Development Authority (MMDA)
• C. Records Management Archives Office (RMAO)
• D. Department of Health (DOH)

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

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. A nurse is providing teaching to a group of older adults about sources of complete and incomplete protein. Which of the following foods should the nurse include as a complete protein?

• A. Yogurt
• B. Fresh vegetables
• C. Nuts
• D. Dried Beans

Correct answer: A

Rationale: Yogurt is the correct answer as it is a complete protein source, containing all nine essential amino acids. Fresh vegetables, nuts, and dried beans are incomplete protein sources as they lack one or more essential amino acids required by the body.

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