Nursing Elites

1. A client with diverticulitis is being taught about dietary management. Which of the following statements by the client indicates an understanding of the teaching?

• A. I should increase my intake of high-fiber foods.
• B. I should decrease my intake of high-fiber foods.
• C. I should increase my intake of high-fat foods.
• D. I should decrease my intake of high-fat foods.

Correct answer: A

Rationale: The correct answer is A. Increasing intake of high-fiber foods is essential in managing diverticulitis as it helps prevent constipation and promotes bowel regularity, reducing the risk of complications and improving overall colon health. Choice B is incorrect because decreasing high-fiber foods can worsen diverticulitis symptoms. Choices C and D are also incorrect as increasing high-fat foods can exacerbate diverticulitis, while decreasing high-fat foods is generally recommended to manage the condition.

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 healthcare professional is assessing a client who has fluid volume overload. Which of the following findings should the healthcare professional expect?

• A. Hypotension.
• B. Bradycardia.
• C. Crackles in the lungs.
• D. Flat neck veins.

Correct answer: C

Rationale: Crackles in the lungs are a classic sign of fluid volume overload. When there is an excess of fluid in the lungs, it can manifest as crackling sounds upon auscultation. This finding indicates the accumulation of fluid in the alveoli and interstitial spaces of the lungs, which is a common manifestation of fluid volume overload.

4. What action should the healthcare provider take for a patient with a chest tube?

• A. Strip the drainage tubing every 4 hours.
• B. Keep the drainage system below the level of the patient's chest.
• C. Clamp the chest tube when ambulating the patient.
• D. Ensure the water seal chamber is filled to the prescribed level.

Correct answer: D

Rationale: Ensuring the water seal chamber is filled to the prescribed level is essential for the chest tube's effective functioning. This maintains the integrity of the system, prevents air from entering the pleural space, and facilitates proper drainage. Stripping the drainage tubing, keeping the drainage system below the chest level, or clamping the chest tube during ambulation are not recommended practices and can lead to complications.

5. A client has a new prescription for a low-sodium diet. Which of the following foods should the nurse recommend?

• A. Pickles
• B. Canned soup
• C. Fresh fruits
• D. Smoked salmon

Correct answer: C

Rationale: Fresh fruits are naturally low in sodium, making them a suitable choice for a low-sodium diet. They provide essential nutrients and are a healthy option for individuals who need to limit their sodium intake. Pickles (Choice A) and canned soup (Choice B) are typically high in sodium and should be avoided in a low-sodium diet. Smoked salmon (Choice D) is also usually high in sodium due to the smoking process, so it is not a recommended choice for a low-sodium diet.

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