Nursing Elites

1. A diet high in which nutrient can lead to increased risk of developing kidney stones?

• A. Fiber
• B. Protein
• C. Carbohydrates
• D. Unsaturated fats

Correct answer: B

Rationale: High protein intake can increase the risk of kidney stones due to elevated calcium excretion.

2. What physiologic role does magnesium play in the body?

• A. Blood clotting, transmission of nerve impulses, muscle contraction and relaxation
• B. Calcium homeostasis, structural integrity of heart muscle
• C. No known metabolic function, caries-preventing properties
• D. ATP energy release; metabolism of fats, carbohydrates, proteins; regulates acid-base balance

Correct answer: B

Rationale: The correct answer is B. Magnesium plays an important role in maintaining calcium homeostasis and preventing skeletal abnormalities. It is involved in more than 300 enzymatic reactions, including energy metabolism, insulin activity, and glucose use. Magnesium is vital to the structural integrity of heart muscle and other muscles and nerves. While magnesium does play a role in blood clotting, nerve impulses, muscle contraction, relaxation, ATP energy release, and metabolism of fats, carbohydrates, proteins, the primary physiologic role of magnesium in the body is related to calcium homeostasis and maintaining the structural integrity of the heart muscle. Choice A is incorrect because it includes functions of magnesium, but they are not its primary physiologic role. Choice C is incorrect as magnesium has several known metabolic functions. Choice D is incorrect because although magnesium is involved in ATP energy release and metabolism, its primary role is related to calcium homeostasis and structural integrity of muscle.

3. What outcome has been shown to be a benefit of breastfeeding that directly impacts the mother?

• A. conserving calcium stores
• B. contracting the uterus
• C. protecting against future hypertension
• D. speeding the resumption of ovulation

Correct answer: B

Rationale: The correct answer is B, contracting the uterus. Breastfeeding helps contract the uterus after childbirth, reducing postpartum bleeding and helping the uterus return to its pre-pregnancy size more quickly. Choices A, C, and D are incorrect because conserving calcium stores, protecting against future hypertension, and speeding the resumption of ovulation are not direct benefits of breastfeeding to the mother.

4. In order to establish and maintain successful breastfeeding, which practice should a lactating mother try to follow?

• A. Initiate breastfeeding within 24 hours of birth
• B. Breastfeed on a schedule of every 2 to 3 hours
• C. Give a pacifier to an infant between feedings
• D. Find a breastfeeding support group to troubleshoot problems

Correct answer: D

Rationale: The correct answer is D. Finding a breastfeeding support group is crucial for a lactating mother to establish and maintain successful breastfeeding. This group can offer valuable advice, tips, and encouragement, helping the mother troubleshoot any issues that may arise during breastfeeding. Choices A, B, and C are incorrect because breastfeeding is a natural process that should not be overly scheduled, and giving a pacifier between feedings can interfere with establishing proper breastfeeding techniques.

5. The community/Public Health Bag is:

• A. a requirement for home visits
• B. an essential and indispensable equipment of the community health nurse
• C. contains basic medications and articles used by the community health nurse
• D. a tool used by the Community health nurse is rendering effective nursing procedures during a home visit

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

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