Nursing Elites

1. If a patient has SALLOW skin, what is true?

• A. Her skin has a yellow tint
• B. Her skin has a blue tint
• C. Her skin has a red tint
• D. Her skin has a green tint

Correct answer: A

Rationale: Sallow skin is a term used to describe skin that appears yellowish in color. This discoloration can be due to various factors, such as an underlying health condition, poor circulation, or certain medications. Observing sallow skin can be an important clinical indicator that prompts further investigation into the patient's overall health status. Choice B, blue tint, is incorrect as sallow skin is not associated with a blue color. Choice C, red tint, and Choice D, green tint, are also incorrect as sallow skin specifically refers to a yellowish complexion, not red or green.

2. A note in the patients' medical record states anticipatory grieving, which patient situations below explains this type of grieving?

• A. A patient who has just given birth to twins following a long labor
• B. A patient who will have their left leg amputated below the knee tomorrow
• C. A patient experiencing pain during a physical therapy session
• D. A patient who will be discharged tomorrow after two months of being hospitalized

Correct answer: B

Rationale: Anticipatory grieving occurs when an individual experiences the emotional response to the anticipated loss before it occurs. In this case, the patient who will have their left leg amputated below the knee tomorrow is facing a significant loss and is likely to be experiencing anticipatory grieving. This situation involves anticipating the physical and emotional challenges that will come with the loss of a body part, leading to emotional distress and grief before the actual amputation takes place. Choices A, C, and D do not involve an impending significant loss that would typically trigger anticipatory grieving. Giving birth, experiencing pain during physical therapy, and being discharged from the hospital, while potentially stressful situations, do not inherently involve the anticipation of a significant loss.

3. What is the crystalline compound that is a product of protein metabolism known as?

• A. uracil
• B. urine
• C. ureter
• D. urea

Correct answer: D

Rationale: Urea is the correct answer. It is the crystalline compound formed in the liver from the breakdown of proteins, a byproduct of protein metabolism. Urea is excreted by the kidneys in the form of urine, aiding in the elimination of nitrogenous waste from the body. Uracil (Choice A) is a nitrogenous base found in RNA, not a product of protein metabolism. Urine (Choice B) is the liquid waste excreted by the kidneys but not the crystalline compound resulting from protein metabolism. Ureter (Choice C) is a duct that carries urine from the kidneys to the bladder, not the compound produced from protein metabolism.

4. Select the meaning of the quoted word in the sentence. The doctor instructed the patient to keep his head 'elevated'.

• A. Raised
• B. Turned
• C. Still
• D. Thrown back

Correct answer: A

Rationale: The correct answer is A, 'Raised.' In this context, 'elevated' means to be lifted or raised up. The doctor's instruction implies keeping the patient's head in an upward position. Choices B, C, and D are incorrect. 'Turned' suggests a change in direction, 'still' means without movement, and 'thrown back' implies a forceful backward motion, none of which capture the meaning of 'elevated' in this scenario.

5. What is another word for paltry?

• A. Insignificant
• B. Punitive
• C. Prolonged
• D. Economical

Correct answer: A

Rationale: The correct answer is A, 'Insignificant.' Paltry and insignificant are synonymous terms that denote something as unimportant, trivial, or of little value. Choice B, 'Punitive,' means inflicting or intended as punishment, which is unrelated to the meaning of paltry. Choice C, 'Prolonged,' means continuing for a long time, which is not a synonym for paltry. Choice D, 'Economical,' means giving good value or service in relation to the amount of money, which is not synonymous with paltry.

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