Nursing Elites

1. For a patient on lithium therapy, which dietary recommendation is essential?

• A. Increase caffeine intake
• B. Increase sodium intake
• C. Increase protein intake
• D. Increase fiber intake

Correct answer: B

Rationale: The correct answer is to increase sodium intake. Maintaining consistent sodium levels is crucial for patients on lithium therapy to prevent fluctuations in drug levels. Increasing caffeine intake (Choice A) is not recommended as it can interfere with lithium levels. While protein intake (Choice C) is important, it is not the essential dietary recommendation for patients on lithium therapy. Similarly, increasing fiber intake (Choice D) is not a key recommendation for these patients.

2. The nurse is administering a beta blocker to the client diagnosed with essential hypertension. Which data would cause the nurse to question administering the medication?

• A. The client’s BP is 110/70
• B. The client’s potassium level is 3.4 mEq/L
• C. The client has a barky cough
• D. The client’s apical pulse is 56

Correct answer: D

Rationale: The correct answer is D. A beta blocker should be withheld if the apical pulse is below 60, as it can further decrease the heart rate. Choice A is not a reason to question administering a beta blocker as the blood pressure is within normal range. Choice B is not directly related to the administration of a beta blocker. Choice C may indicate a potential adverse effect of another medication, but it does not specifically warrant questioning the administration of the beta blocker.

3. Why are hospital patients at greater risk for drug-nutrient interactions than they used to be?

• A. Hospitalized patients are more acutely ill
• B. Hospital routines interfere with the correct timing of medications
• C. Drugs used today are more toxic and have more side effects
• D. Responsibility for monitoring this is shared by various members of the healthcare team

Correct answer: A

Rationale: The correct answer is A. Hospitalized patients are at greater risk for drug-nutrient interactions because they are more acutely ill, often having multiple conditions and treatments that increase the risk of such interactions. Choice B is incorrect as hospital routines interfering with medication timing are not directly related to drug-nutrient interactions. Choice C is incorrect as the toxicity and side effects of drugs do not necessarily relate to interactions with nutrients. Choice D is incorrect as shared responsibility for monitoring does not directly contribute to the increased risk of drug-nutrient interactions in hospitalized patients.

4. When a field medical element is not operational, it engages in training to achieve readiness for mobilization that involves all aspects of operation. Individuals must be proficient in their MOS/ASI and which of the following?

• A. Command and control procedures
• B. Computers and data processing
• C. Common soldier tasks
• D. Communications and automation

Correct answer: C

Rationale: In this scenario, when a field medical element is not operational, training is essential to prepare for mobilization. Proficiency in MOS/ASI (Military Occupational Specialty/Area of Specialization) is crucial, along with proficiency in common soldier tasks. Common soldier tasks encompass fundamental skills and knowledge that are essential for operational readiness and mobilization. Options A, B, and D are not as directly related to individual readiness for mobilization in this context.

5. Which of the following nursing interventions is important for a client scheduled to have a Guaiac Test?

• A. Avoid turnips, radish, and horseradish 3 days before
• B. Continue iron preparation to prevent further loss of iron
• C. Do not consume red meat 12 hours before the procedure
• D. Encourage consumption of dark-colored foods with caffeine

Correct answer: A

Rationale: The correct answer is A. Turnips, radish, and horseradish are known to cause false-positive results in a Guaiac Test, which is used to detect blood in the stool. Avoiding these foods is crucial to ensure accurate test results. Choice B is incorrect because iron preparations can interfere with the test results. Choice C is incorrect as red meat does not impact the Guaiac Test significantly. Choice D is incorrect as caffeine and dark-colored foods are not relevant to the preparation for a Guaiac Test.

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