Nursing Elites

1. A client who is 2 days postoperative following abdominal surgery is about to progress from a clear liquid diet to full liquids. Which of the following items should the nurse tell the client he may now request to have on his meal tray?

• A. Cranberry juice
• B. Flavored gelatin
• C. Skim milk
• D. Chicken broth

Correct answer: A

Rationale: Cranberry juice is an appropriate choice for a client transitioning from a clear liquid diet to full liquids post abdominal surgery. It provides hydration and some essential nutrients. Flavored gelatin is usually allowed on a clear liquid diet and may not be suitable for a full liquids phase. Skim milk and chicken broth are typically introduced in a later stage of the diet progression, closer to a soft diet, due to their higher protein and fat content.

2. Metabolic control is especially important for women with gestational diabetes to ensure the infant does not develop:

• A. microsomia
• B. macrosomia
• C. type 1 diabetes
• D. type 2 diabetes

Correct answer: B

Rationale: Metabolic control is crucial for women with gestational diabetes to prevent the development of macrosomia, which is characterized by an abnormally large baby. This condition poses risks such as birth injuries and necessitates careful management of blood sugar levels. Microsomia is not a known term related to this context. Type 1 and type 2 diabetes are not conditions the infant would develop as a result of gestational diabetes in the mother.

3. Sugar alcohols have anticariogenic properties and can protect the teeth by decreasing demineralization, enhancing remineralization, or increasing salivary flow, even in the presence of a fermentable carbohydrate. Name 3 sugar alcohols.

• A. Sorbitol
• B. Mannitol
• C. Xylitol
• D. Erythritol

Correct answer: D

Rationale: Sugar alcohols such as sorbitol, mannitol, and xylitol are commonly used in sugar-free products and have properties that help protect teeth from caries by promoting remineralization and increasing salivary flow. Erythritol is another common sugar alcohol used as a sweetener in various products, but it was not listed in the question.

4. The Acceptable Macronutrient Distribution Ranges state that half of your calories should come from protein.

• A. TRUE
• B. FALSE
• C.
• D.

Correct answer: B

Rationale: The statement is FALSE. The Acceptable Macronutrient Distribution Ranges recommend that 10-35% of daily calories come from protein, not half. The remaining calories should be derived from a combination of carbohydrates and fats to ensure a balanced diet. Choosing option A is incorrect because it misinterprets the recommended percentage for protein intake. Options C and D are left blank as they are not applicable to the question.

5. What factor has been shown to contribute to poor nutritional health among adolescents?

• A. Most teens choose fruit juice and milk over soda
• B. Many teens consume energy drinks on a regular basis
• C. Teens have busy schedules and rarely drink fluids throughout the day
• D. Teens are more likely to consume low-fat milk

Correct answer: B

Rationale: The correct answer is B because many teens regularly consume energy drinks, which can contribute to poor nutritional health due to their high sugar and caffeine content, leading to unhealthy dietary patterns. Choice A is incorrect because choosing fruit juice and milk over soda would generally be considered a healthier choice. Choice C is incorrect as busy schedules leading to inadequate fluid intake might impact hydration but not necessarily poor nutritional health. Choice D is also incorrect as consuming low-fat milk is not typically a significant factor contributing to poor nutritional health among adolescents.

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