Nursing Elites

1. A client with diabetes is being taught by a nurse about the dietary source that should provide the greatest percentage of calories. Which of the following statements indicates the client understands the teaching?

• A. "Most of my calories each day should be from fats."?
• B. "I should eat more calories from complex carbohydrates than anything else."?
• C. "Simple sugars are needed more than other calorie sources."?
• D. "Protein should be my main source of calories."?

Correct answer: B

Rationale: The correct answer is '"I should eat more calories from complex carbohydrates than anything else."?' Clients with diabetes should focus on complex carbohydrates as their primary calorie source because they have a lower impact on blood sugar levels compared to simple sugars or fats. Choice A is incorrect because a high intake of fats can lead to various health issues. Choice C is incorrect because simple sugars can cause rapid spikes in blood sugar levels. Choice D is incorrect as while protein is important, it should not be the main source of calories for someone with diabetes.

2. The mechanism behind most CKD in patients without diabetes is mediated by:

• A. enzyme systems
• B. immune systems
• C. catabolic systems
• D. hormonal systems

Correct answer: B

Rationale: In non-diabetic patients, CKD is often mediated by immune system responses. Chronic inflammation triggered by immune system dysfunction can contribute to progressive kidney damage. Therefore, the correct answer is 'immune systems.' Choices A, C, and D are incorrect because CKD in non-diabetic patients is primarily associated with immune system abnormalities rather than enzyme, catabolic, or hormonal systems.

3. Which type of nutritional deficiency results from inadequate absorption?

• A. Unmeasurable
• B. Primary deficiency
• C. Secondary deficiency
• D. Codependent

Correct answer: C

Rationale: The correct answer is C: Secondary deficiency. A nutritional deficiency resulting from decreased intake is called a primary deficiency. On the other hand, a secondary deficiency refers to a vitamin deficiency caused by inadequate absorption or use, increased requirements, excretion, or destruction. Choice A, 'Unmeasurable,' is incorrect as it does not describe a type of nutritional deficiency. Choice B, 'Primary deficiency,' is incorrect as it refers to a deficiency caused by decreased intake, not inadequate absorption. Choice D, 'Codependent,' is incorrect as it is unrelated to the context of nutritional deficiencies.

4. For a patient with celiac disease, which dietary modification is necessary?

• A. Increase protein intake
• B. Avoid gluten
• C. Increase dairy intake
• D. Avoid lactose

Correct answer: B

Rationale: The correct answer is B: Avoid gluten. Patients with celiac disease have an immune reaction to gluten, a protein found in wheat, barley, and rye. Therefore, it is crucial for individuals with celiac disease to avoid gluten-containing products. Increasing protein intake (Choice A) is not specifically necessary for celiac disease management. Increasing dairy intake (Choice C) is unrelated to the dietary requirements of individuals with celiac disease. Avoiding lactose (Choice D) is relevant for individuals with lactose intolerance, not celiac disease. Therefore, the only necessary modification for a patient with celiac disease is to avoid gluten.

5. The following are all classes of nutrients except:

• A. protein
• B. fat
• C. carbs
• D. phytochemicals

Correct answer: D

Rationale: Phytochemicals are not considered a class of nutrients. While proteins, fats, and carbohydrates are essential macronutrients providing energy and structural support, phytochemicals are non-nutrient compounds found in plants that offer various health benefits but are not essential for sustaining life like the other three choices. Therefore, the correct answer is D.

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