Nursing Elites

1. To prevent recurrent attacks on client with glomerulonephritis, the nurse instructs the client to:

• A. Take a shower instead of tub baths
• B. Avoid situations that involve physical activity
• C. Continue the same restriction on fluid intake
• D. Seek early treatment for respiratory infection

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

2. What outcome has been shown to be a benefit of breastfeeding that directly impacts the mother?

• A. conserving calcium stores
• B. contracting the uterus
• C. protecting against future hypertension
• D. speeding the resumption of ovulation

Correct answer: B

Rationale: The correct answer is B, contracting the uterus. Breastfeeding helps contract the uterus after childbirth, reducing postpartum bleeding and helping the uterus return to its pre-pregnancy size more quickly. Choices A, C, and D are incorrect because conserving calcium stores, protecting against future hypertension, and speeding the resumption of ovulation are not direct benefits of breastfeeding to the mother.

3. A nurse is reinforcing dietary teaching with a client who has vitamin A deficiency. Which of the following food choices should the nurse recommend as the best source of vitamin A?

• A. 1 small baked sweet potato
• B. 1 cup avocado
• C. 1 cup green beans
• D. 1 large apple

Correct answer: A

Rationale: The correct answer is A. Sweet potatoes are rich in beta-carotene, which the body converts into vitamin A, essential for vision and immune function. Avocado (choice B) is a good source of healthy fats but not high in vitamin A. Green beans (choice C) are nutritious but not a significant source of vitamin A. Apples (choice D) are low in vitamin A compared to sweet potatoes.

4. A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect?

• A. Increased vital capacity
• B. Dry skin
• C. Heat intolerance
• D. Decreased mental status

Correct answer: D

Rationale: Malnutrition can lead to a variety of physical and mental symptoms. One common manifestation of malnutrition is a decreased mental status, which includes confusion, lethargy, and cognitive impairment. Dry skin is a typical finding in malnutrition due to the lack of essential nutrients needed for skin health. Heat intolerance is not a direct consequence of malnutrition. While malnutrition can affect respiratory function, it typically leads to decreased vital capacity rather than increased. Therefore, the correct answer is decreased mental status.

5. Myxedema coma is a life-threatening complication of long-standing and untreated hypothyroidism with one of the following characteristics.

• A. Hyperglycemia
• B. Hypothermia
• C. Hyperthermia
• D. Hypoglycemia

Correct answer: A

Rationale: Myxedema coma is associated with hypothermia, not hyperthermia. Therefore, the correct characteristic of myxedema coma is hypothermia. This condition is a medical emergency that requires prompt recognition and intervention to prevent serious complications. The presence of hyperglycemia is not a defining characteristic of myxedema coma, making choice A the correct answer in this case. Hyperthermia and hypoglycemia are not typically seen in myxedema coma and are not consistent with the clinical presentation of this condition.

Similar Questions