Nursing Elites

1. Nutrition therapy for clients with diabetes is based on:

• A. low dietary intake of sugars
• B. standardized diabetic diet plans
• C. each client’s lifestyle and preferences
• D. the client’s weight and blood glucose level

Correct answer: C

Rationale: Corrected Rationale: Nutrition therapy for clients with diabetes should be individualized to each client's lifestyle, preferences, and needs. This approach ensures that the dietary plan is sustainable and tailored to the client, leading to better adherence and improved health outcomes. Choices A and B are too general and do not account for individual differences among clients. Choice D, focusing solely on weight and blood glucose levels, overlooks other crucial aspects of a client's overall well-being and dietary requirements in diabetes management.

2. Which mineral is essential for wound healing?

• A. iodine
• B. chromium
• C. zinc
• D. sulfate

Correct answer: C

Rationale: Zinc plays a critical role in wound healing due to its involvement in cell proliferation, immune function, and protein synthesis, all of which are essential for tissue repair.

3. Which nutrient deficiency are people who regularly take prescription drugs such as steroids and diuretics at risk for?

• A. Potassium
• B. Selenium
• C. Iodine
• D. Chloride

Correct answer: A

Rationale: Regular intake of prescription drugs like steroids and diuretics can lead to the loss of potassium in the body, causing a condition known as hypokalemia. Therefore, people on these medications require careful monitoring and often need potassium supplementation to prevent this deficiency. The other options, selenium, iodine, and chloride, are incorrect because there is no specific link between their deficiency and the regular use of steroids and diuretics.

4. A client who 1) _____ diet requires 2) ___ amounts of vitamin C.

• A. A) Follows a vegan diet, B) More
• B. B) Smokes cigarettes, B) More
• C. A) Follows a vegan diet, C) The same
• D. B) Smokes cigarettes, C) The same

Correct answer: B

Rationale: The correct answer is B) Smokes cigarettes, More. Smoking increases the need for vitamin C as it can deplete the body's vitamin C levels. Vegan diets, on the other hand, require more vitamin C for optimal absorption due to the absence of heme iron, which enhances non-heme iron absorption. Choices A and C are incorrect because vegan diets require more vitamin C, while smoking increases the need for vitamin C.

5. What is the name of the record that shows all medications and treatments provided on a repeated basis?

• A. Nursing Health History and Assessment Worksheet
• B. Discharge Summary
• C. Nursing Kardex
• D. Medicine and Treatment Record

Correct answer: D

Rationale: The 'Medicine and Treatment Record' is the document that maintains a comprehensive log of all medications and treatments provided on a routine basis. It does not refer to the 'Discharge Summary', which is a clinical report prepared by healthcare professionals at the end of a hospital stay or series of treatments. The 'Nursing Health History and Assessment Worksheet' is used to gather comprehensive data about the patient's health history and current health status, but it does not record ongoing treatment details. The 'Nursing Kardex' is a patient care information system used to quickly communicate patient needs, but it does not consistently record all medications and treatments provided.

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