Nursing Elites

1. Which statement indicates understanding of a low-fiber diet?

• A. I can cut up carrots and celery sticks for my lunch.
• B. I will eat a bran muffin for my mid-morning snack.
• C. I will have oatmeal with skim milk for my breakfast.
• D. I should choose canned peaches for my fruit serving.

Correct answer: D

Rationale: The correct answer is D because canned peaches are low in fiber compared to the other options provided. Option A contains high-fiber vegetables (carrots and celery), option B includes a bran muffin which is fiber-rich, and option C involves oatmeal which is also a good source of fiber. Therefore, choosing canned peaches aligns with a low-fiber diet.

2. A client taking antibiotics develops diarrhea. Which of the following foods should the nurse recommend to include in the client’s diet?

• A. Whole wheat bread
• B. Fresh orange sections
• C. Ice cream
• D. Yogurt

Correct answer: D

Rationale: Yogurt is the correct answer because it contains probiotics that can help restore normal gut flora and reduce antibiotic-associated diarrhea. Whole wheat bread (Choice A) may worsen diarrhea due to its high fiber content. Fresh orange sections (Choice B) are acidic and may irritate the digestive system further. Ice cream (Choice C) is high in sugar and fat, which can exacerbate diarrhea.

3. A nurse is caring for a client who has a body mass index (BMI) of 30. Four weeks after nutritional counseling, which of the following evaluation findings indicates the plan of care was followed?

• A. BMI of 25
• B. Weight gain of 1.8 kg
• C. BMI of 33
• D. Weight loss of 2.7 kg

Correct answer: D

Rationale: A weight loss of 2.7 kg in four weeks indicates effective adherence to a nutritional plan aimed at reducing body mass index (BMI), moving towards a healthier weight. Choices A, B, and C are incorrect because a decrease in weight, as shown in choice D, is the desired outcome when managing a client with a BMI of 30 to reach a healthier range.

4. Which vitamin is primarily obtained from sunlight exposure?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin E

Correct answer: C

Rationale: The correct answer is Vitamin D. Vitamin D is synthesized in the skin when it is exposed to sunlight. This process allows the body to produce Vitamin D naturally. Vitamin A (Choice A) is found in foods like liver and carrots and is not primarily obtained from sunlight. Vitamin C (Choice B) is commonly found in fruits and vegetables. Vitamin E (Choice D) is present in foods like nuts and seeds and is not primarily obtained from sunlight.

5. As Leda’s nurse, you plan to set up an emergency equipment at her beside following thyroidectomy. You should include:

• A. An airway and rebreathing tube
• B. A tracheostomy set and oxygen
• C. A crush cart with bed board
• D. Two ampules of sodium bicarbonate

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

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