Nursing Elites

1. To prevent injury and strain on the muscles, the nurse should observe proper body mechanics. Among the following, which is a principle of proper body mechanics?

• A. Broaden the space between the feet
• B. Push instead of pull
• C. Move the object away from the body when lifting
• D. Bend at the waist, not on the knees

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

2. Which of the following is a good food source of iodine?

• A. Seafood
• B. Lettuce
• C. Broccoli
• D. Pork

Correct answer: A

Rationale: Seafood is a rich source of iodine, essential for maintaining healthy thyroid function and overall metabolic health. While lettuce, broccoli, and pork may contain some iodine, they do not provide as substantial an amount as seafood. Therefore, they are not considered 'good' sources of iodine in comparison.

3. Which of the following foods should be avoided by patients experiencing xerostomia, except one? Which is the exception?

• A. Saltines
• B. Salsa
• C. Alcohol
• D. Dill pickles

Correct answer: D

Rationale: The correct answer is Dill pickles. Unlike the other choices, which can exacerbate xerostomia due to their dry or irritating nature, dill pickles, being tart and sour, can actually help stimulate saliva flow, which is beneficial for patients with xerostomia. Saltines, salsa, and alcohol are all known to contribute to dry mouth and should generally be avoided by individuals experiencing xerostomia.

4. A client who has dumping syndrome following a hemi-colectomy should avoid which of the following foods when receiving nutritional teaching from a nurse?

• A. Rice
• B. Poached eggs
• C. Fresh apples
• D. White bread

Correct answer: C

Rationale: Fresh apples should be avoided by a client with dumping syndrome following a hemi-colectomy because they are high in fiber and can exacerbate gastrointestinal symptoms such as diarrhea and bloating. Rice and poached eggs are good options as they are easily digestible and less likely to trigger dumping syndrome symptoms. White bread is also preferable over whole grain bread due to its lower fiber content, making it a better choice for individuals with dumping syndrome.

5. The principal cation in plasma and interstitial fluid is:

• A. Sodium
• B. Potassium
• C. Calcium
• D. Magnesium

Correct answer: A

Rationale: The principal cation in plasma and interstitial fluid is sodium. Sodium plays a crucial role in maintaining fluid balance and is the primary cation in extracellular fluids like plasma and interstitial fluid. Potassium is the primary cation within cells, not in extracellular fluids, making it an incorrect choice. Calcium and magnesium are essential minerals but are not the principal cations in plasma and interstitial fluid, so they are also incorrect choices.

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