Nursing Elites

1. Patients with kidney stones should increase their intake of:

• A. fluids
• B. vitamin C
• C. oxalates
• D. protein

Correct answer: A

Rationale: Patients with kidney stones should increase their intake of fluids. Increasing fluid intake helps to dilute the urine and reduce the risk of kidney stones forming by flushing out minerals that can crystallize. This promotes the passage of small stones and helps prevent the formation of new ones. Vitamin C and protein intake should be moderated as excessive consumption may lead to the formation of certain types of kidney stones. Oxalates should be limited in the diet as they can contribute to the formation of calcium oxalate stones, a common type of kidney stone.

2. What are symptoms of uncontrolled type 1 diabetes?

• A. Depression, anxiety, and fatigue
• B. Increased thirst, urination, and hunger
• C. Weight gain, macrosomia, and food cravings
• D. Poor wound healing, blurred vision, and recurrent infections

Correct answer: B

Rationale: The correct answer is B: Increased thirst, urination, and hunger. Uncontrolled type 1 diabetes typically presents with classic symptoms including polydipsia (increased thirst), polyuria (frequent urination), and polyphagia (increased hunger). These symptoms are often accompanied by weight loss due to the body's inability to properly utilize glucose for energy. Choices A, C, and D are incorrect as they do not align with the typical symptoms of uncontrolled type 1 diabetes. Depression, anxiety, fatigue, weight gain, macrosomia, food cravings, poor wound healing, blurred vision, and recurrent infections are not primary symptoms associated with uncontrolled type 1 diabetes.

3. Which of the following is the least likely reason that osteoporosis is more prevalent in women?

• A. women have smaller bodies
• B. women have lower bone mass
• C. women consume less calcium
• D. bone loss begins later in women

Correct answer: D

Rationale: The correct answer is D. Contrary to the statement, bone loss begins earlier in women, particularly after menopause, due to the decrease in estrogen levels. This drop in estrogen accelerates bone loss, contributing to the higher prevalence of osteoporosis in women. Choices A, B, and C are more likely reasons for the increased prevalence of osteoporosis in women. Women generally have smaller bodies, lower bone mass compared to men, and may consume less calcium, all of which are significant factors contributing to the higher incidence of osteoporosis in women.

4. What does oliguria lead to in patients with acute kidney injury?

• A. Hypophosphatemia and overgrowth of bone tissue
• B. An increase in blood potassium levels due to excessive excretion of parathyroid hormone
• C. Sodium retention and elevated levels of potassium
• D. Edema due to increased urine production

Correct answer: C

Rationale: In patients with acute kidney injury, oliguria (reduced urine output) often results in sodium retention and hyperkalemia (elevated levels of potassium). This is due to the kidneys' decreased capacity to excrete these substances. Choice A is incorrect because hypophosphatemia and overgrowth of bone tissue are not direct consequences of oliguria in acute kidney injury. Choice B is incorrect because an increase in blood potassium levels is not caused by excessive excretion of parathyroid hormone but rather by decreased excretion of potassium. Choice D is incorrect because edema is not caused by increased urine production but rather by fluid overload due to decreased urine output.

5. A nurse is providing teaching to a group of adult athletes about preventing the effects of dehydration on the body. Which of the following manifestations should the nurse include in the teaching?

• A. Impaired motor control
• B. Drop in body temperature during exercise
• C. Increase in appetite
• D. Decreased resting heart rate

Correct answer: A

Rationale: Dehydration can lead to impaired motor control due to electrolyte imbalances affecting muscle function. Choices B, C, and D are incorrect. Dehydration typically causes an increase in body temperature during exercise, not a drop. Dehydration is more likely to suppress appetite, leading to a decrease rather than an increase in appetite. Also, dehydration often results in an increased heart rate rather than a decreased resting heart rate.

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