Nursing Elites

1. Where does most nutrient digestion and absorption occur?

• A. Large intestine
• B. Small intestine
• C. Stomach
• D. Mouth

Correct answer: B

Rationale: The small intestine is the correct answer. It is the primary site for nutrient digestion and absorption in the digestive system. The small intestine plays a crucial role in breaking down carbohydrates, proteins, and fats into forms that can be absorbed by the body. While the large intestine absorbs water and electrolytes, the majority of nutrient absorption occurs in the small intestine. The stomach primarily functions in the initial digestion of proteins, and the mouth begins the mechanical breakdown of food through chewing.

2. When should a newborn transition to whole milk according to dietary teaching for breastfeeding parents?

• A. 6 months
• B. 8 months
• C. 10 months
• D. 12 months

Correct answer: D

Rationale: Breast milk or formula should be the primary source of nutrition for infants up to around 1 year of age. The transition to whole cow's milk is recommended at 12 months of age, not earlier. Introducing whole milk before 12 months can lead to digestive issues and nutrient deficiencies. Therefore, choices A, B, and C are incorrect as they suggest transitioning to whole milk before the recommended age of 12 months.

3. What would you do to increase the amount of iron absorbed from a meal?

• A. Drink plenty of coffee before each meal
• B. Avoid eating foods rich in vitamin C with the meal
• C. Eat a calcium-rich food with the meal
• D. Consume orange juice as a beverage with a meal

Correct answer: D

Rationale: The correct answer is D: 'Consume orange juice as a beverage with a meal'. This is because Vitamin C significantly enhances the absorption of non-heme iron, a form of iron found in plant-based foods. Therefore, consuming orange juice, which is rich in vitamin C, with a meal can effectively increase iron absorption. On the contrary, choices A, B, and C are incorrect. Coffee (Choice A) contains polyphenols that can inhibit iron absorption. Avoiding vitamin C-rich foods (Choice B) would decrease iron absorption, not increase it. While calcium (Choice C) is essential for many bodily processes, it can actually inhibit iron absorption when consumed together.

4. A client who practices Islam and is currently observing dietary restrictions for the month of Ramadan. Which of the following interventions should the nurse include in the plan of care?

• A. Remove pork products from the dietary plan
• B. Facilitate fasting during daylight hours
• C. Serve meat and dairy items together
• D. Provide a low-carb diet on Fridays

Correct answer: B

Rationale: During Ramadan, individuals fast from dawn to sunset. Facilitating fasting during daylight hours respects the dietary practices of clients observing Ramadan. Choice A is incorrect as the dietary restriction during Ramadan involves abstaining from all food and drink during daylight hours, not just beef products. Choice C is incorrect as Muslims generally do not consume meat and dairy together due to religious dietary laws. Choice D is incorrect as providing a low-carb diet on Fridays does not specifically align with the dietary restrictions observed during Ramadan.

5. The GAUGE size in ET tubes determines:

• A. The external circumference of the tube
• B. The internal diameter of the tube
• C. The length of the tube
• D. The tube’s volumetric capacity

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

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