Nursing Elites

1. While a team effort is necessary in the operating room (OR) for efficient and quality patient care delivery, the number of people in the room should be limited for infection control purposes. Which roles comprise this team?

• A. Surgeon, anesthesiologist, scrub nurse, radiologist, orderly
• B. Surgeon, assistants, scrub nurse, circulating nurse, anesthesiologist
• C. Surgeon, assistant surgeon, anesthesiologist, scrub nurse, pathologist
• D. Surgeon, assistant surgeon, anesthesiologist, intern, scrub nurse

Correct answer: B

Rationale: The roles typically present in an operating room team include the surgeon, assistants (which may include an assistant surgeon), scrub nurse, circulating nurse, and anesthesiologist. These roles are directly involved in the operation and patient care. Choice B is correct. Choice A includes a radiologist and an orderly, who are not typically part of the immediate surgical team in the OR. Choice C includes a pathologist, who usually works in a laboratory outside of the OR. Choice D includes an intern, who may or may not be part of the team, depending on the specific circumstances and hospital policy. These explanations make choices A, C, and D incorrect.

2. Which food items should be avoided by a child with lactose intolerance?

• A. Popcorn, seeds, and any foods containing nuts.
• B. Milk, cheese, ice cream, and puddings.
• C. Wheat, rye, barley, and commercially baked goods.
• D. Eggs, ham, bacon, and canned meats.

Correct answer: B

Rationale: The correct answer is B: Milk, cheese, ice cream, and puddings should be avoided by a child with lactose intolerance because they contain lactose, which the child's body may have difficulty digesting. Option A is incorrect as popcorn, seeds, and foods containing nuts do not typically contain lactose. Option C lists wheat, rye, barley, and commercially baked goods, which are sources of gluten, not lactose. Option D includes eggs, ham, bacon, and canned meats, which are also not sources of lactose. Therefore, B is the most appropriate choice for a child with lactose intolerance.

3. Why are LDLs known as the 'bad' type of cholesterol?

• A. LDL (Low-Density Lipoprotein) is considered 'bad' cholesterol because it deposits cholesterol on the walls of arteries, leading to plaque formation and narrowing of the arteries (atherosclerosis).
• B. Both the statement and the reason are correct but are not related
• C. The statement is correct, but the reason is not correct
• D. The statement is not correct, but the reason is correct

Correct answer: A

Rationale: LDL (Low-Density Lipoprotein) is known as the 'bad' type of cholesterol because it deposits cholesterol on the walls of arteries, leading to plaque formation and narrowing of the arteries (atherosclerosis). This narrowing can restrict blood flow and increase the risk of serious cardiovascular conditions. The statement and the reason are directly related because the adherence of LDL to arterial walls and the subsequent narrowing of the lumen are the primary reasons why it is considered detrimental to heart health. Choice B is incorrect because the statement and reason are related. Choice C is incorrect because both the statement and the reason are correct. Choice D is incorrect because the statement correctly identifies LDL as the 'bad' type of cholesterol due to its actions in the arteries.

4. What is the term for intestinal wounds associated with Crohn's disease that develop in different areas in the intestine, with normal tissue separating affected regions?

• A. Skip lesions
• B. Fistulas
• C. Fissures
• D. Loop ulcerations

Correct answer: A

Rationale: Skip lesions are typical characteristics of Crohn's disease, where patches of diseased intestine are interspersed with areas of healthy tissue. This is why option A is the correct answer. Option B, fistulas, are abnormal connections between two body parts, which is not what the question is describing. Option C, fissures, are small tears in the lining of the anus, which also do not fit the description in the question. Option D, loop ulcerations, is not a recognized medical term, making it an incorrect choice.

5. Medications that reduce stomach acidity can impair the absorption of _____.

• A. calcium
• B. iron
• C. vitamin D
• D. vitamin C

Correct answer: B

Rationale: Reduced stomach acidity impairs the absorption of iron, as an acidic environment is necessary for optimal iron absorption in the stomach. Choices A, C, and D are incorrect as medications that reduce stomach acidity typically do not significantly affect the absorption of calcium, vitamin D, or vitamin C.

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