Nursing Elites

1. What is a likely effect on a patient whose lab results reveal hypoalbuminemia?

• A. Infection
• B. Rickets
• C. Hypertension
• D. Edema

Correct answer: D

Rationale: Hypoalbuminemia, which refers to low albumin levels in the blood, is often associated with edema. Albumin helps maintain oncotic pressure, which keeps fluid within blood vessels. When albumin levels are low, this pressure decreases, leading to fluid leakage from the blood vessels into the surrounding tissues, resulting in edema. The other choices are less likely effects of hypoalbuminemia. Hypoalbuminemia doesn't directly cause infections (Choice A), rickets (Choice B) caused by vitamin D deficiency, or hypertension (Choice C) associated with factors like high sodium intake, obesity, and genetic predisposition.

2. Worldwide, what is the most common nutrient deficiency?

• A. magnesium deficiency
• B. iron deficiency
• C. selenium deficiency
• D. zinc deficiency

Correct answer: B

Rationale: Iron deficiency is the most common nutrient deficiency globally. It leads to anemia and affects many populations, especially women and children. Magnesium, selenium, and zinc deficiencies are important, but they are not as prevalent as iron deficiency on a global scale.

3. A client with a large lower-leg ulcer needs protein for wound healing. Which of the following foods should the nurse suggest?

• A. Kidney beans
• B. Grilled salmon
• C. Peanut butter
• D. Raw spinach

Correct answer: B

Rationale: Grilled salmon is the best choice for providing high-quality protein for wound healing. Salmon is rich in essential amino acids, omega-3 fatty acids, and vitamin D, which can help promote tissue repair and reduce inflammation. Kidney beans, peanut butter, and raw spinach are good protein sources but do not offer the same level of high-quality protein and nutrients needed specifically for wound healing.

4. The term associated with loss of taste is:

• A. Xerostomia
• B. Hypogeusia
• C. Dysphagia
• D. Anosmia

Correct answer: B

Rationale: The correct answer is B, 'Hypogeusia.' Hypogeusia refers to a diminished sense of taste, which can impact nutritional intake, especially in older adults. Xerostomia (choice A) is dry mouth, Dysphagia (choice C) is difficulty swallowing, and Anosmia (choice D) is the loss of the sense of smell. These conditions are different from loss of taste, making them incorrect choices for this question.

5. What physiological role does phosphorus play in the body?

• A. Blood clotting, transmission of nerve impulses, muscle contraction, and relaxation
• B. Calcium homeostasis, structural integrity of heart muscle
• C. No known metabolic function, caries-preventing properties
• D. ATP energy release; metabolism of fats, carbohydrates, proteins; regulates acid-base balance

Correct answer: D

Rationale: The correct answer is D. Phosphorus plays a crucial role in ATP energy release, the metabolism of fats, carbohydrates, and proteins, and regulation of acid-base balance. Choices A, B, and C are incorrect. Phosphorus is not directly involved in blood clotting, transmission of nerve impulses, muscle contraction, or calcium homeostasis. It also has known metabolic functions and is not associated with caries prevention.

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