Nursing Elites

1. Select all that apply. You are interested in learning about the effect of eating diet soft drinks on your health. Your internet search leads you to a website with the ending .com, which tells you that diet soft drinks contain sugar alcohols that can cause harm. Which of the following actions are logical?

• A. notice if there are any ads on the page that suggest conflicts of interest
• B. read about consuming diet soft drinks in the dietary guidelines for Americans
• C. visit a more credible website and compare information
• D. all of the above

Correct answer: D

Rationale: Logical steps include evaluating the credibility of the website, reading official guidelines, comparing information from credible sources, and verifying the author's qualifications.

2. In monitoring the patient in PACU, the nurse correctly identifies that checking the patient's vital signs is done every:

• A. 1 hour
• B. 5 minutes
• C. 15 minutes
• D. 30 minutes

Correct answer: A

Rationale: Correct Answer: A - Vital signs monitoring in the PACU (Post-Anesthesia Care Unit) is typically done every hour to closely monitor the patient's condition during the immediate postoperative period. This frequency allows the nurse to promptly identify any changes in the patient's vital signs and intervene as necessary. Choice B (5 minutes) is too frequent for routine vital signs monitoring in the PACU and may not allow for a comprehensive assessment of the patient's stability. Choice C (15 minutes) and Choice D (30 minutes) are also not in line with the standard practice of vital signs monitoring in the PACU, which is typically hourly.

3. Which of the following treatments is not recommended for a child classified with no dehydration?

• A. Administering 1,000 ml to 1,400 ml within 4 hours
• B. Continuing feeding
• C. Allowing the child to take as much fluid as he wants
• D. Returning the child to the doctor if the condition worsens

Correct answer: B

Rationale: The correct answer is B. Continuing feeding is a recommended treatment for a child classified with no dehydration. This helps maintain the child's nutritional status and supports recovery. Options A, C, and D are appropriate interventions for a child with no dehydration. Option A ensures adequate fluid intake, option C promotes hydration, and option D ensures appropriate follow-up if the condition worsens.

4. What is the term for a barrier that prevents the normal emptying of stomach contents into the duodenum?

• A. Dumping syndrome
• B. Gastritis
• C. Gastric outlet obstruction
• D. Hypochlorhydria

Correct answer: C

Rationale: Gastric outlet obstruction refers to a condition where the opening between the stomach and the duodenum is blocked, preventing the normal passage of food. This is why choice 'C' is correct. 'A: Dumping syndrome' is incorrect because it is a condition where stomach contents move too quickly through the small intestine, not a barrier preventing emptying. 'B: Gastritis' is inflammation of the stomach lining, not a blockage of the outlet. 'D: Hypochlorhydria' refers to low stomach acid, which may affect digestion but does not create a physical barrier blocking the outlet of the stomach.

5. Which types of diabetes are characterized by the body's cells becoming resistant to insulin? (Select all that apply)

• A. Gestational diabetes
• B. Type II diabetes
• C. Type I diabetes
• D. Both A and B

Correct answer: D

Rationale: In both gestational diabetes and Type II diabetes, the body's cells become resistant to insulin, leading to elevated blood glucose levels. Insulin resistance in these types of diabetes prevents glucose from entering the cells, causing it to accumulate in the bloodstream. On the other hand, Type I diabetes is characterized by the body's inability to produce insulin because the immune system mistakenly attacks and destroys the insulin-producing cells in the pancreas. Therefore, the correct answer is both A and B. Choice C, Type I diabetes, is not characterized by insulin resistance but rather by the body's inability to produce insulin. Therefore, it is incorrect. Choice D, Both A and B, includes the correct options of gestational diabetes and Type II diabetes, making it the correct answer.

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