Nursing Elites

1. Which metabolic disease is characterized by poor healing, severe forms of periodontal disease, necrosis, xerostomia, and candidiasis?

• A. Hypopituitarism
• B. Diabetes mellitus
• C. Hyperthyroidism
• D. Renal disease

Correct answer: B

Rationale: Diabetes mellitus is the correct answer. It is associated with poor wound healing, severe periodontal disease, tissue necrosis, dry mouth (xerostomia), and an increased susceptibility to oral infections like candidiasis. Hypopituitarism, hyperthyroidism, and renal disease are not typically linked to the specific oral manifestations described in the question.

2. Which of the following is reflected in an ECG due to hypokalemia?

• A. Tall T waves and Pathologic Q wave
• B. Widening QRS Complex and U wave
• C. None of the above
• D. Both A and B

Correct answer: B

Rationale: Hypokalemia, a condition characterized by low levels of potassium in the blood, is reflected in an ECG by a widening QRS Complex and a U wave. This is because potassium plays a key role in the electrical activity of the heart, and its deficiency can lead to abnormalities in the heart's rhythm as represented by these specific changes on the ECG. Choice A is incorrect as tall T waves and pathologic Q waves are more commonly associated with hyperkalemia or myocardial infarction, respectively, rather than hypokalemia. Choices C and D are also incorrect as they do not accurately reflect the ECG changes caused by hypokalemia.

3. What is the primary goal of a dental hygienist when making dietary recommendations for a patient with a new dental prosthesis?

• A. To promote healing and repair by ensuring an adequate and nutrient-dense diet
• B. To promote healing and repair by recommending consumption of only liquids for the first week
• C. To promote a balanced diet by recommending a variety of fibrous foods
• D. To encourage the patient to become accustomed to the prosthesis by eating as usual

Correct answer: A

Rationale: The primary goal of a dental hygienist when making dietary recommendations for a patient with a new dental prosthesis is to promote healing and repair. This can be achieved by ensuring the patient maintains an adequate and nutrient-dense diet. This is why option 'A' is the correct answer. Option 'B' is incorrect because while liquids are easier to consume with a new dental prosthesis, a diet consisting only of liquids for a week may not provide all necessary nutrients. Option 'C' is incorrect because while a variety of fibrous foods can contribute to a healthy diet, it's not specifically relevant to the healing and adjustment to a new dental prosthesis. Option 'D' is incorrect because eating as usual may not be feasible or comfortable for a patient with a new prosthesis, and it doesn't specifically focus on promoting healing and repair.

4. The nurse cares for a hospitalized adolescent with the diagnosis of anorexia nervosa. Which nursing goal is a priority for this client?

• A. Encourage effective coping skills
• B. Restore normal eating habits
• C. Stop weight loss or restore weight
• D. Promote realistic self-image

Correct answer: C

Rationale: In the treatment of anorexia nervosa, stopping weight loss or restoring weight is a critical priority. This helps address the immediate health risks associated with severe malnutrition and supports the client's physical well-being. Encouraging effective coping skills, restoring normal eating habits, and promoting a realistic self-image are essential aspects of treatment but may come later in the care plan once the immediate risk of severe weight loss has been addressed.

5. For a client with metabolic syndrome, which dietary change is most beneficial?

• A. Increase intake of refined sugars
• B. Decrease intake of trans fats
• C. Increase intake of red meat
• D. Decrease intake of whole grains

Correct answer: B

Rationale: Decreasing trans fats helps manage metabolic syndrome by improving lipid profiles.

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