Nursing Elites

1. What is the primary function of a written nursing care plan?

• A. Evaluates whether nursing care goals have been achieved
• B. Ensures the provision of quality nursing care
• C. Assists in selecting the appropriate nursing interventions
• D. Facilitates the creation of a nursing diagnosis

Correct answer: D

Rationale: A written nursing care plan fundamentally serves to facilitate the development of a nursing diagnosis. This procedure involves analyzing patient data and identifying health problems that nurses can address independently. This analysis then aids in determining the most appropriate nursing interventions for the identified health issues. Although evaluating the achievement of nursing care goals is an important aspect, it is not the primary function of a nursing care plan. Similarly, while delivering quality nursing care is crucial, it is a broader concept that includes many other facets beyond just the initial nursing diagnosis and interventions.

2. Which two dietary components may help decrease blood cholesterol levels?

• A. Omega-3 fatty acids and soluble fiber
• B. Short-chain fatty acids and insoluble fiber
• C. Trans fatty acids and potassium
• D. Cis fatty acids and calcium

Correct answer: A

Rationale: The correct answer is A: Omega-3 fatty acids and soluble fiber. Omega-3 fatty acids are known to reduce triglycerides, while soluble fiber helps to lower LDL cholesterol levels. Both of these components are beneficial in managing blood cholesterol levels. Choice B, short-chain fatty acids and insoluble fiber, is incorrect as they do not have the same cholesterol-lowering effects as omega-3 fatty acids and soluble fiber. Choice C, trans fatty acids and potassium, is incorrect as trans fatty acids can raise LDL cholesterol levels and increase the risk of heart disease. Choice D, cis fatty acids and calcium, is incorrect as cis fatty acids are common in natural fats and do not specifically help in reducing blood cholesterol levels.

3. The purpose of ECT in clients with depression is to:

• A. Stimulation in the brain to increase brain conduction and counteract depression
• B. Mainly Biologic, increasing the norepinephrine and serotonin level
• C. Creates a temporary brain damage that will increase blood flow to the brain
• D. Involves the conduction of electrical current to the brain to charge the neurons and combat depression

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

4. Which of the following statements are true about iron?

• A. The iron needs of vegans are 20% higher, and the needs of endurance athletes are 10% lower.
• B. It is one of the most common nutrient deficiencies in the world.
• C. Its absorption is increased by Vitamin C and during pregnancy.
• D. Its absorption is increased by tannic acid and calcium in milk.

Correct answer: C

Rationale: Choice C is correct because iron absorption is indeed increased by Vitamin C and during pregnancy. The other choices are incorrect. Choice A is wrong as there are no universally accepted percentages for the iron needs of vegans and endurance athletes. Choice B is inaccurate as iron deficiency is actually one of the most common nutritional deficiencies worldwide. Choice D is incorrect because tannic acid and calcium in milk actually inhibit iron absorption rather than increasing it.

5. While on Bryant’s traction, which of these observations of Graciela and her traction apparatus would indicate a decrease in the effectiveness of her traction?

• A. Graciela’s buttocks are resting on the bed.
• B. The traction weights are hanging 10 inches above the floor.
• C. Graciela’s legs are suspended at a 90 degree angle to her trunk.
• D. The traction ropes move freely through the pulley.

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

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