Nursing Elites

1. The nurse is caring for a child with cystic fibrosis. The nurse would anticipate that the child would be deficient in which vitamins?

• A. B, D, and K
• B. A, D, and K
• C. A, C, and D
• D. A, B, and C

Correct answer: B

Rationale: Children with cystic fibrosis often have difficulty absorbing fat-soluble vitamins (A, D, and K) due to pancreatic insufficiency, making supplementation necessary. Choice A (B, D, and K) is incorrect because vitamin A deficiency is not commonly associated with cystic fibrosis. Choice C (A, C, and D) is incorrect as vitamin C deficiency is not typically related to cystic fibrosis. Choice D (A, B, and C) is incorrect as vitamin B deficiencies are not commonly seen in cystic fibrosis but rather fat-soluble vitamin deficiencies.

2. In order to establish priorities in planning and implementing the occupational health program, which of the following data will the nurse need?

• A. disease trends, birth and death rates, and social environmental conditions
• B. birth and death rates
• C. disease trends
• D. social environmental conditions

Correct answer: A

Rationale: To effectively plan and implement an occupational health program, the nurse needs comprehensive data, including disease trends, birth and death rates, and social environmental conditions. This holistic approach ensures that the program addresses a wide range of health aspects impacting the target population. Option A is the correct choice as it considers multiple factors influencing occupational health. Choices B, C, and D are each individually important but do not provide the breadth of information required to establish priorities in a comprehensive occupational health program.

3. When a nurse teaches a community about the importance of regular health screenings, this activity falls under which level of prevention?

• A. Primary prevention
• B. Secondary prevention
• C. Tertiary prevention
• D. Quaternary prevention

Correct answer: B

Rationale: The correct answer is B: Secondary prevention. Secondary prevention aims to detect and treat disease early to prevent complications. Teaching about the importance of regular health screenings helps in early detection and intervention, which aligns with the goals of secondary prevention. Choice A, Primary prevention, involves actions to prevent the onset of a health condition. Choice C, Tertiary prevention, focuses on managing and treating existing conditions to prevent further complications. Choice D, Quaternary prevention, relates to actions taken to mitigate or avoid unnecessary interventions, over-medicalization, and the consequences of unnecessary treatment.

4. When discussing hypothyroidism and treatment with the family of a newborn, the nurse should emphasize

• A. Expecting mental retardation in the child is likely
• B. Administering thyroid hormone can prevent problems
• C. This rare problem is always hereditary
• D. Physical growth/development will be delayed

Correct answer: B

Rationale: The correct answer is B. Administering thyroid hormone to a newborn diagnosed with hypothyroidism can prevent developmental delays and mental retardation. This treatment is crucial to ensure optimal growth and development. Choice A is incorrect because with prompt treatment, mental retardation can be prevented. Choice C is incorrect as hypothyroidism can also be acquired and not only hereditary. Choice D is incorrect as physical growth and development can be supported through timely administration of thyroid hormone.

5. A client with hypothyroidism is receiving levothyroxine (Synthroid). The nurse should monitor the client for which of the following side effects?

• A. Tachycardia
• B. Hypotension
• C. Weight gain
• D. Bradycardia

Correct answer: A

Rationale: The correct answer is A: Tachycardia. Levothyroxine, used to treat hypothyroidism, can lead to increased metabolism, causing tachycardia as a side effect. Monitoring for tachycardia is essential to ensure the client's safety. Choices B, Hypotension, and C, Weight gain, are incorrect as levothyroxine is not typically associated with causing hypotension or weight gain. Choice D, Bradycardia, is also incorrect as levothyroxine-induced bradycardia is not a common side effect.

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