Nursing Elites

1. Which type of bread, cereal, or pasta would most likely be recommended for a patient on a fat-restricted diet?

• A. popcorn
• B. fried rice
• C. English muffins
• D. granola

Correct answer: C

Rationale: English muffins would be the most suitable option for a patient on a fat-restricted diet. They are typically lower in fat compared to fried rice, granola, and popcorn with butter. Popcorn, fried rice, and granola are higher in fat content and may not be the best choice for individuals on a fat-restricted diet.

2. A client is being instructed by a nurse about foods that should be included in a low-fiber diet. Which statement by the client indicates understanding?

• 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 lower in fiber compared to the other options. Carrots, celery sticks, bran muffins, and oatmeal are high-fiber choices, which are not suitable for a low-fiber diet. Choosing canned peaches aligns with the requirements of a low-fiber diet.

3. Which nutrient is most important for the prevention of osteoporosis?

• A. Vitamin A
• B. Iron
• C. Calcium
• D. Protein

Correct answer: C

Rationale: Calcium is the most important nutrient for bone health and the prevention of osteoporosis. Calcium plays a crucial role in maintaining bone density and strength. Vitamin A is important for vision and immune function but is not directly related to bone health. Iron is essential for oxygen transport in the blood, while protein is important for muscle growth and repair. However, in the context of preventing osteoporosis, calcium is the key nutrient.

4. What is one of the best nutritional actions a caregiver can take to help a patient with Alzheimer's disease maintain appropriate body weight?

• A. Thicken liquids to prevent choking
• B. Supervise food planning and mealtimes
• C. Assist the person in completing a grocery checklist
• D. Feed the person their meals and snacks

Correct answer: B

Rationale: The correct answer is B, 'Supervise food planning and mealtimes'. This action ensures the patient with Alzheimer's disease maintains an appropriate diet and body weight, thus reducing the risk of malnutrition. While choices A, 'Thicken liquids to prevent choking', C, 'Assist the person in completing a grocery checklist', and D, 'Feed the person their meals and snacks', might be beneficial in certain circumstances, they do not directly contribute to the maintenance of appropriate body weight as effectively as supervising food planning and mealtimes does.

5. A client receiving total parenteral nutrition (TPN) suddenly develops tremors, dizziness, and diaphoresis. The client said, 'I feel weak and the bag was empty.' Which is the most likely complication the client is currently experiencing?

• A. Fluid volume overload
• B. Sepsis
• C. Hyperglycemia
• D. Hypoglycemia

Correct answer: D

Rationale: The client experiencing tremors, dizziness, diaphoresis, weakness, and stating that the TPN bag is empty is likely experiencing hypoglycemia. Hypoglycemia can occur when the TPN infusion suddenly stops, leading to a rapid drop in blood sugar levels. Symptoms of hypoglycemia include tremors, dizziness, diaphoresis, and weakness. Choices A, B, and C are incorrect as the symptoms presented are more consistent with hypoglycemia rather than fluid volume overload, sepsis, or hyperglycemia.

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