Nursing Elites

1. A fire has broken in the unit of DMLM R.N. The best leadership style suited in cases of emergencies like this is:

• A. Autocratic
• B. Participative
• C. Democratic
• D. Laissez Faire

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. A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching?

• A. Bottled water is an appropriate choice to increase fluid intake.
• B. The salad bar is a healthy choice when dining out.
• C. Soft-boiled eggs are an appropriate source of protein.
• D. Eating at a buffet is a good choice to increase caloric intake.

Correct answer: A

Rationale: In neutropenia, which is a low count of neutrophils, the client is at a high risk of infection. It is crucial to emphasize the importance of proper hydration to maintain overall health. Bottled water is a safe choice as it reduces the risk of exposure to contaminants that could further compromise the client's immune system. The other options, like the salad bar, soft-boiled eggs, and eating at a buffet, may not be suitable for a client with neutropenia due to the risk of bacterial contamination or exposure to pathogens that could lead to infections, which should be avoided.

3. Which medical problem is not generally associated with malnutrition?

• A. incontinence
• B. pressure sores
• C. celiac disease
• D. major surgery

Correct answer: A

Rationale: Incontinence is not typically associated with malnutrition, whereas conditions like pressure sores and celiac disease are directly linked to nutritional deficiencies and malabsorption.

4. Select all that apply. A person who is deficient in vitamin A could consume which of the following to increase vitamin A levels?

• A. cantaloupe
• B. eggs
• C. carrots
• D. all of the above

Correct answer: D

Rationale: Vitamin A can be found in high amounts in foods like cantaloupe, eggs, carrots, and milk, all of which help to maintain healthy vision, skin, and immune function.

5. A nurse is discussing sources of vitamin K with a client. Which food should the nurse recommend?

• A. Fish
• B. Leafy greens
• C. Citrus fruits
• D. Nuts

Correct answer: B

Rationale: Leafy greens are rich in vitamin K, which is important for blood clotting.

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