Nursing Elites

1. Which food is most likely to be included in a low-fiber diet?

• A. Broccoli
• B. Ripe Bananas
• C. Onions
• D. Whole-Grain Bread

Correct answer: B

Rationale: A low-fiber diet is generally recommended for individuals who need to restrict their intake of dietary fiber for health reasons. Ripe bananas are low in fiber and easy to digest, making them an ideal choice for a low-fiber diet. On the other hand, broccoli, onions, and whole-grain bread are high in fiber. Therefore, they are less suitable for a low-fiber diet as they could cause digestive discomfort or exacerbate certain health conditions. Ripe bananas, being low in fiber, are the most appropriate choice for a low-fiber diet.

2. 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.

3. Sucrose is a:

• A. monosaccharide
• B. disaccharide
• C. polysaccharide
• D. starch

Correct answer: B

Rationale: Sucrose is a disaccharide composed of one glucose and one fructose molecule.

4. A client has a small-bore jejunostomy and is receiving a continuous tube feeding with a high-viscosity formula. Which of the following actions should the nurse take to prevent the tubing from clogging?

• A. Replace the bag and tubing every 24 hours
• B. Flush the tubing with 10 mL water every 6 hours
• C. Administer the feeding by gravity drip
• D. Heat the formula prior to infusion

Correct answer: B

Rationale: To prevent clogging when using high-viscosity formulas in a small-bore jejunostomy, the nurse should flush the tubing with 10 mL of water every 6 hours. This action helps maintain tube patency and prevent blockages. Replacing the bag and tubing every 24 hours (Choice A) is unnecessary and does not specifically address preventing clogging. Administering the feeding by gravity drip (Choice C) or heating the formula prior to infusion (Choice D) are not effective interventions for preventing tubing clogging.

5. The nurse interprets the statement “Bow down before me! I am the holy mother of Christ! I am the blessed Virgin Mary!” as important in documenting in which of the following areas of mental status examination?

• A. Thought content
• B. Mood
• C. Affect
• D. Attitude

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.

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