Nursing Elites

1. What type of drug would most likely be given to a patient following a myocardial infarction?

• A. antiemetic
• B. anticoagulant
• C. anticonvulsant
• D. antibiotic

Correct answer: B

Rationale: Anticoagulants are the most suitable choice for a patient following a myocardial infarction. These medications are essential in preventing further blood clots from forming in the arteries, reducing the risk of complications such as strokes or recurrent heart attacks. Antiemetics are used to control nausea and vomiting, not directly related to myocardial infarction. Anticonvulsants are used to manage seizures, not typically indicated after a heart attack. Antibiotics are prescribed to treat bacterial infections, not routinely given after a myocardial infarction.

2. Compared to the typical American diet, what does the DASH diet provide more of?

• A. More saturated fats
• B. Fewer whole grains
• C. More fruits and vegetables
• D. Fewer dairy products

Correct answer: C

Rationale: The correct answer is C. The DASH diet, which stands for Dietary Approaches to Stop Hypertension, emphasizes the consumption of fruits and vegetables, which are high in potassium, fiber, and antioxidants. These nutrients help lower blood pressure. Therefore, compared to the typical American diet, the DASH diet provides more fruits and vegetables. Choices A, B, and D are incorrect. The DASH diet doesn't focus on providing more saturated fats or fewer whole grains or dairy products. In fact, it encourages the consumption of whole grains and low-fat dairy products to promote a balanced and healthy diet.

3. What kinds of foods do people who live in food deserts typically lack?

• A. fresh fruits and vegetables
• B. energy-dense foods
• C. beef or pork products
• D. grains and cereals

Correct answer: A

Rationale: Correct Answer: Fresh fruits and vegetables are often unavailable in food deserts, where access to nutritious, perishable foods is limited. Choice B, energy-dense foods, is incorrect because these are more likely to be available in food deserts, contributing to health issues. Choice C, beef or pork products, is incorrect as the focus is on the lack of fresh produce. Choice D, grains and cereals, is incorrect as these are staple foods that are more commonly found even in areas classified as food deserts.

4. A client receiving continuous enteral tube feeding reports cramping and abdominal distention. Which of the following actions should the nurse take?

• A. Check for gastric residual.
• B. Apply low intermittent suction.
• C. Increase the rate of the feeding.
• D. Request a higher-fat formula.

Correct answer: A

Rationale: When a client on continuous enteral tube feeding experiences cramping and abdominal distention, the nurse should check for gastric residual. This assessment helps determine if the client is tolerating the feeding well or if there is a potential issue such as feeding intolerance. Applying low intermittent suction, increasing the feeding rate, or requesting a higher-fat formula are not appropriate actions for addressing the reported symptoms and may exacerbate the client's discomfort or lead to further complications.

5. Can soluble fibers be fermented by gut bacteria?

• A. TRUE
• B. FALSE
• C.
• D.

Correct answer: A

Rationale: Soluble fibers can indeed be fermented by gut bacteria in the large intestine, leading to the production of beneficial short-chain fatty acids. This fermentation process is important for gut health and provides various health benefits. Therefore, the statement is true. Choice B is incorrect as it contradicts the known scientific fact that soluble fibers can be broken down by gut bacteria through fermentation.

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