Nursing Elites

1. Which of the following nursing interventions is appropriate after a total thyroidectomy?

• A. Place pillows under your patient’s shoulders.
• B. Raise the knee-gatch to 30 degrees
• C. Keep you patient in a high-fowler’s position.
• D. Support the patient’s head and neck with pillows and sandbags.

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

2. Medication for treating high blood cholesterol levels should not be used for most people unless:

• A. The patient has at least three major risk factors for coronary heart disease
• B. The patient has been experiencing symptoms of coronary heart disease for at least three months
• C. The patient's medical insurance covers prescription drugs
• D. Treatment with Therapeutic Lifestyle Changes (TLC) alone is unsuccessful after three months

Correct answer: D

Rationale: The correct answer is choice D because medication for high cholesterol is typically not considered unless Therapeutic Lifestyle Changes (TLC), which include diet and exercise, have not proven effective after a three-month period. This approach ensures that lifestyle modifications are given a fair chance to lower cholesterol levels before resorting to medication. Choice A is incorrect because the number of risk factors for coronary heart disease does not dictate when to begin medication; it is about the effectiveness of lifestyle changes. Choice B is incorrect as the duration of coronary heart disease symptoms does not determine when to start medication; the focus is on the response to TLC. Choice C is incorrect because the coverage of prescription drugs by the patient's insurance does not influence the medical decision to use medication for high cholesterol; it is based on medical necessity and effectiveness of prior interventions.

3. Which mineral is essential for wound healing?

• A. iodine
• B. chromium
• C. zinc
• D. sulfate

Correct answer: C

Rationale: Zinc plays a critical role in wound healing due to its involvement in cell proliferation, immune function, and protein synthesis, all of which are essential for tissue repair.

4. 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.

5. Which substance would most likely need to be restricted in patients with heart failure who use diuretics to help reduce fluid retention?

• A. potassium
• B. magnesium
• C. sodium
• D. chloride

Correct answer: C

Rationale: Sodium restriction is crucial in heart failure management to prevent fluid retention, which can worsen symptoms of heart failure.

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