Nursing Elites

1. A client with frequent kidney stones is receiving dietary teaching from a nurse. Which of the following instructions should the nurse include?

• A. Limit your intake of dairy products.
• B. Increase your consumption of protein-rich foods.
• C. Avoid eating tree nuts, such as almonds.
• D. Take a vitamin C supplement twice daily.

Correct answer: A

Rationale: The correct answer is to instruct the client to limit their intake of dairy products. Dairy products are high in calcium and can contribute to kidney stone formation in susceptible individuals. Increasing protein intake may lead to higher excretion of calcium, which can exacerbate kidney stone formation. While tree nuts are high in oxalates, which can contribute to kidney stone formation, it is not the primary concern in this case. Vitamin C supplements can increase oxalate levels in the urine, potentially increasing the risk of kidney stone formation, so it should not be recommended.

2. Dental hygienists are in a key position to assess and detect signs and symptoms of systemic disease because more than one third of the patients treated in a dental office frequently do not interact with a general health care provider.

• A. Both the statement and the reason are correct and related
• 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: Dental hygienists often see patients more regularly than general healthcare providers, allowing them to identify systemic issues early.

3. During nutritional counseling, what is the most important step to take?

• A. Consult the patient's family
• B. Formulate a sample diet plan before presenting it to the patient
• C. Include members of the dental team in the dietary formulation
• D. Include the patient in the formulation of the dietary plan

Correct answer: D

Rationale: During nutritional counseling, the most important step is to include the patient in the formulation of the dietary plan. This ensures their active involvement, understanding, and commitment to the plan, leading to better compliance and success in achieving nutritional goals. Consulting the patient's family (Choice A) may be helpful but should not replace involving the patient directly. Formulating a sample diet plan before presenting it to the patient (Choice B) may not align with the patient's preferences or needs. Including members of the dental team in the dietary formulation (Choice C) may not be necessary unless specific dental concerns need to be addressed.

4. Much of the research investigating probiotics and intestinal illness has focused on the prevention and treatment of _____.

• A. irritable bowel syndrome
• B. Crohn's disease
• C. diverticulitis
• D. infectious diarrhea

Correct answer: D

Rationale: The correct answer is 'D: infectious diarrhea.' Research has extensively explored the use of probiotics in the prevention and treatment of infectious diarrhea. Probiotics can aid in restoring the balance of gut flora, thereby reducing symptoms. Choices A, B, and C are incorrect because while probiotics may have some benefits for these conditions, the primary focus of research in relation to probiotics and intestinal illness has been on infectious diarrhea.

5. Plant stanols and sterols help to lower LDL cholesterol and are often added to which food product?

• A. margarine
• B. milk
• C. cereal
• D. yogurt

Correct answer: A

Rationale: Plant stanols and sterols are commonly added to margarine to help lower LDL cholesterol levels. Margarine acts as a vehicle for these compounds, making it easier for individuals to incorporate them into their daily diet. While milk, cereal, and yogurt are healthy food options, they are not typically enriched with plant stanols and sterols for cholesterol-lowering purposes, making them less likely candidates as the correct answer.

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