Nursing Elites

1. After cleaning the abrasions and applying antiseptic, the nurse applies a cold compress to the swollen ankle as ordered by the physician. This statement shows that the nurse has a correct understanding of the use of a cold compress:

• A. Cold compress reduces blood viscosity in the affected area
• B. It is safer to apply than a hot compress
• C. Cold compress prevents edema and reduces pain
• D. It eliminates toxic waste products due to vasodilation

Correct answer: C

Rationale: The correct understanding of using a cold compress includes knowing that it helps prevent edema and reduces pain. Cold application constricts blood vessels, reducing blood flow to the area, which helps decrease swelling and pain. Choices A, B, and D are incorrect because cold compresses do not directly affect blood viscosity, safety compared to hot compresses, or eliminate toxic waste products due to vasodilation. It is essential for nurses to have a clear understanding of the rationale behind interventions to provide effective patient care.

2. A common side effect of diuretic medications is _____.

• A. dry mouth
• B. urinary tract infection
• C. increased taste perception
• D. nausea

Correct answer: A

Rationale: Diuretic medications can lead to dry mouth due to increased fluid loss through urination, reducing saliva production.

3. The recommended daily fluid intake of patients maintained using hemodialysis is:

• A. 150 mL plus the volume of urinary output
• B. 500 mL plus the volume of urinary output
• C. 1000 mL plus the volume of urinary output
• D. 1500 mL plus the volume of urinary output

Correct answer: C

Rationale: The correct answer is C: 1000 mL plus the volume of urinary output. Fluid intake is typically restricted in hemodialysis patients to prevent fluid overload. The recommended daily fluid intake for these patients is 1000 mL plus any urinary output. Choice A (150 mL plus the volume of urinary output) is too low and would not provide enough fluid for these patients. Choice B (500 mL plus the volume of urinary output) is also insufficient. Choice D (1500 mL plus the volume of urinary output) is too high and may lead to fluid overload in hemodialysis patients.

4. Which test is used to monitor the degree of blood glucose control over a long period?

• A. Glucose tolerance test
• B. Glycated hemoglobin level
• C. Self-monitoring of blood glucose
• D. 24-hour urinary glucose excretion

Correct answer: B

Rationale: The correct answer is B, glycated hemoglobin level. The glycated hemoglobin (HbA1c) test measures the average blood glucose levels over the past 2-3 months, providing a long-term picture of glucose control. Choice A, the glucose tolerance test, measures how well your body processes glucose but is not specifically for long-term monitoring. Choice C, self-monitoring of blood glucose, involves daily testing by individuals, providing immediate rather than long-term information. Choice D, 24-hour urinary glucose excretion, measures the amount of glucose excreted in the urine over 24 hours and is not typically used for long-term monitoring of blood glucose control.

5. Which food is a high source of prebiotics?

• A. Chicken
• B. Garlic
• C. White rice
• D. Cheese

Correct answer: B

Rationale: Garlic is the correct answer. It is high in prebiotics, which are non-digestible fibers that promote the growth of beneficial gut bacteria. Chicken, white rice, and cheese are not significant sources of prebiotics. Chicken is a good source of protein, white rice is a carbohydrate, and cheese is a dairy product, none of which are high in prebiotics.

Similar Questions