Nursing Elites

1. Nurse Minette needs to schedule a first home visit to OB client Leah. When is a first home-care visit typically made?

• A. Within 4 days after discharge
• B. Within 24 hours after discharge
• C. Within 1 hour after discharge
• D. Within 1 week of discharge

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.

2. Each statement is true of water-soluble vitamins, except one. Which is it?

• A. Act as coenzymes
• B. Deficiencies develop rapidly
• C. Daily intake is necessary
• D. Absorbed in the jejunum

Correct answer: B

Rationale: The correct answer is B. Water-soluble vitamins do not develop deficiencies rapidly because the body does not store them for long periods. They must be obtained through food constantly. Choice A is correct because water-soluble vitamins often act as coenzymes in various metabolic reactions. Choice C is correct as daily intake of water-soluble vitamins is necessary since they are not stored in the body. Choice D is incorrect as water-soluble vitamins are absorbed primarily in the small intestine, particularly in the duodenum and ileum, not the jejunum.

3. What is the best snack choice for a preschool-age child?

• A. Fruit snacks
• B. Mini wheat bagel with peanut butter
• C. White toast with jelly
• D. Sports drink

Correct answer: B

Rationale: The best snack choice for a preschool-age child is a mini wheat bagel with peanut butter as it provides a good balance of carbohydrates, protein, and healthy fats. Fruit snacks, although they contain some fruit flavor, are often high in added sugars and lack essential nutrients. White toast with jelly may provide quick energy but lacks protein and healthy fats, which are important for a balanced snack choice. Sports drinks are typically high in sugar and unnecessary for a preschool-age child's snack, as they are designed for rehydration during intense physical activity, not as a regular snack option.

4. A client who underwent surgical placement of a colostomy is being cared for by a nurse. Which of the following statements indicates the client understands the dietary teaching?

• A. "Eating yogurt can help decrease the amount of gas that I have."?
• B. "I should eliminate pasta from my diet so that I don't have as many loose stools."?
• C. "My largest meal of the day should be in the evening."?
• D. "Carbonated beverages can help control odor."?

Correct answer: D

Rationale: The correct answer is D. Carbonated beverages can help control odor in clients with colostomies. This is because carbonated drinks can help decrease odor by reducing the production of odoriferous compounds in the colon. Choices A, B, and C are incorrect. Eating yogurt may help regulate bowel movements but does not specifically address odor control associated with colostomies. Eliminating pasta from the diet to reduce loose stools is not necessary for colostomy care. The timing of the largest meal of the day is not directly related to dietary teaching for colostomy care.

5. In one of your home visit to Mr. JUN, you found out that his son is sick with cholera. There is a great possibility that other member of the family will also get cholera. This possibility is a/an:

• A. Foreseeable crisis
• B. Health threat
• C. Health deficit
• D. Crisis

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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