Nursing Elites

1. For a patient with GERD (gastroesophageal reflux disease), which dietary advice is most appropriate?

• A. Increase spicy foods
• B. Avoid fatty foods
• C. Increase citrus fruits
• D. Reduce water intake

Correct answer: B

Rationale: Avoiding fatty foods can help reduce the symptoms of GERD.

2. During times of staff and financial shortage, which method is the best and most effective?

• A. Functional Method
• B. Primary Nursing
• C. Team Nursing
• D. Modular Method

Correct answer: D

Rationale: During times of staff and financial shortage, the Modular Method is considered the best and most effective. This method allows for flexibility and adaptability in assigning tasks and responsibilities, making it easier to cope with limited resources. Functional Method (Choice A) focuses on the division of labor based on each staff member's skills, which may not be the most efficient during shortages. Primary Nursing (Choice B) and Team Nursing (Choice C) may require a more significant number of staff, making them less suitable during shortages.

3. A patient with an ileostomy is suffering from frequent diarrhea. The clinician should advise the patient to increase his intake of what food to thicken stool output?

• A. celery
• B. salad greens
• C. potatoes
• D. dried beans and peas

Correct answer: C

Rationale: Potatoes are starchy and can help thicken stool output, making them beneficial for patients with an ileostomy experiencing diarrhea.

4. A condition that is conducive to the development of dental caries is said to be _____.

• A. periodontal
• B. cariogenic
• C. gingival
• D. bacteriophilic

Correct answer: B

Rationale: A condition that is conducive to the development of dental caries is described as cariogenic. Cariogenic refers to foods or conditions that promote the development of dental caries by providing an environment for bacteria to thrive and produce acids that erode tooth enamel. Choice A, periodontal, is incorrect as it relates to the supporting structures of the teeth rather than the development of dental caries. Choice C, gingival, is also incorrect as it pertains to the gums rather than the causation of dental caries. Choice D, bacteriophilic, is not the term commonly used to describe conditions that lead to dental caries, making it an incorrect choice.

5. Tony is to be discharged in the afternoon of the same day after tonsillectomy and adenoidectomy. You, as the RN, will make sure that the family knows to:

• A. offer pureed foods
• B. offer soft foods for a week to minimize discomfort while swallowing
• C. supplement his diet with Vitamin C-rich foods to enhance healing
• D. offer clear liquids for 3 days to prevent irritation

Correct answer: B

Rationale: After tonsillectomy and adenoidectomy, it is crucial to provide soft foods for a week to minimize discomfort while swallowing. This helps prevent irritation to the surgical site and allows for easier healing. Offering pureed foods (Choice A) may not be necessary as soft foods are usually sufficient. While Vitamin C is beneficial for healing, it is not necessary to supplement it immediately after surgery with Vitamin C-rich juices (Choice C). Clear liquids are typically recommended before surgery and not after, as the focus shifts to soft foods to aid in recovery, making Choice D incorrect.

Similar Questions