Nursing Elites

1. After surgery Leda develops peripheral numbness, tingling and muscle twitching and spasm. What would you anticipate to administer?

• A. Magnesium sulfate C. Potassium iodide
• B. Calcium gluconate D. Potassium chloride
• C.
• D.

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.

2. Which of the following statements are correct?

• A. Lipids are transported in the blood as lipoproteins, which are clusters of lipids associated with proteins.
• B. In type II diabetes, the pancreas produces insulin, but cells are resistant to this signal.
• C. The glycemic index classifies foods based on their potential to raise blood glucose levels.
• D. All of the above

Correct answer: D

Rationale: Option A is correct because lipoproteins indeed transport lipids in the blood. They are complexes of lipids and proteins that transport water-insoluble lipids through the blood. Option B is correct as it accurately describes the condition of type II diabetes where the pancreas can produce insulin, but the cells are resistant to its signal, causing an ineffective regulation of blood sugar. Option C is also correct because the glycemic index is indeed a classification system for foods based on their potential to raise blood glucose levels. High glycemic index foods raise blood glucose levels faster than low glycemic index foods. Hence, all the statements are correct, making option D the correct answer.

3. During the first 24 hours after the thermal injury, you should assess Sergio for:

• A. hypokalemia and hypernatremia
• B. hypokalemia and hyponatremia
• C. hyperkalemia and hyponatremia
• D. hyperkalemia and hypernatremia

Correct answer: D

Rationale: During the initial phase after a thermal injury, the major concern is the release of potassium due to cell damage, leading to hyperkalemia. Hypernatremia is not typically a primary concern in the immediate post-injury phase. Hyponatremia is less likely to occur initially after a burn injury. Therefore, the correct assessment for Sergio during the first 24 hours after the thermal injury would be hyperkalemia and hypernatremia.

4. Select all that apply. A person who is deficient in vitamin A could consume which of the following to increase vitamin A levels?

• A. cantaloupe
• B. eggs
• C. carrots
• D. all of the above

Correct answer: D

Rationale: Vitamin A can be found in high amounts in foods like cantaloupe, eggs, carrots, and milk, all of which help to maintain healthy vision, skin, and immune function.

5. What describes a criterion used to diagnose diabetes?

• A. a plasma glucose concentration of 100 mg/dL or higher after a fast of at least 12 hours
• B. a casual blood sample of 200 mg/dL or higher in a person with classic symptoms
• C. a plasma glucose concentration measured two hours after a 200-gram glucose load is 400 mg/dL or higher
• D. a HbA1C higher than 5 percent

Correct answer: B

Rationale: A casual blood sample of 200 mg/dL or higher in a person with classic symptoms is a diagnostic criterion for diabetes. This choice aligns with the typical clinical presentation of diabetes and is a key diagnostic indicator. Choices A, C, and D do not accurately reflect the established criteria for diagnosing diabetes, making them incorrect. Choice A pertains to a fasting plasma glucose level, Choice C involves a glucose challenge test, and Choice D refers to HbA1C levels, which are used for monitoring blood sugar control over time, not for diagnosing diabetes.

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