Nursing Elites

1. Which assessment finding indicates effective treatment for hyperemesis gravidarum?

• A. The client's glucose is within the normal range.
• B. The client ate 80% of their breakfast tray.
• C. There is no protein in the client's urine.
• D. The client's blood pressure is 145/75 mmHg.

Correct answer: B

Rationale: Improved appetite and food intake is an indication of effective treatment.

2. The correct temperature to store vaccines in a refrigerator is:

• A. between -4 deg C and +8 deg C
• B. between 2 deg C and +8 deg C
• C. between -8 deg C and 0 deg C
• D. between -8 deg C and +4 deg C

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.

3. A client who is breastfeeding is being taught diet modification by a nurse. Which of the following statements by the client indicates an understanding of the teaching?

• A. I should drink an 8-ounce glass of water each time my baby nurses.
• B. I should take a 1500-milligram iron supplement daily.
• C. I can eat a 2500-calorie daily diet to lose 1 lb per week.
• D. I can eat ounces of swordfish daily.

Correct answer: A

Rationale: The correct answer is A because drinking an 8-ounce glass of water each time the baby nurses helps maintain hydration and support milk production. Choice B is incorrect as the need for iron supplementation should be discussed with a healthcare provider. Choice C is incorrect as a 2500-calorie diet is not typically recommended for weight loss during breastfeeding. Choice D is incorrect as consuming high levels of swordfish is not advisable due to its mercury content, which can be harmful to the baby.

4. Which food item should be recommended to prevent choking in toddlers?

• A. Banana slices
• B. Popcorn
• C. Hot dogs
• D. Carrot sticks

Correct answer: A

Rationale: Banana slices are less likely to cause choking compared to other options.

5. A nurse is providing teaching to a group of parents of newborns who are planning to formula feed. Which of the following statements by a parent indicates a need for further teaching?

• A. "I will give formula to my baby at room temperature."
• B. "I will ensure my baby's feeds last 10 to 15 minutes."
• C. "I will burp my baby halfway through each feeding."
• D. "I will watch for signs my baby is full and stop the feeding."

Correct answer: B

Rationale: The correct answer is, "I will ensure my baby's feeds last 10 to 15 minutes." This statement indicates a need for further teaching because it suggests a strict time limit for feedings, which may not be appropriate for a newborn. Newborns should be allowed to feed as long as they want, typically around 20-30 minutes per breast if breastfeeding, or on-demand with formula. Choices A, C, and D demonstrate proper feeding practices such as feeding at room temperature, burping halfway through each feeding, and watching for signs of fullness to stop the feeding, which are all appropriate responses by a parent of a formula-fed newborn.

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