Nursing Elites

1. A client with chronic pancreatitis is receiving discharge teaching from a nurse. Which of the following statements should the nurse make?

• A. "You should decrease your caloric intake when experiencing abdominal pain."?
• B. "You should increase your daily intake of protein."?
• C. "You should increase fat intake when experiencing loose stools."?
• D. "You should limit alcohol intake to 2-3 drinks per week."?

Correct answer: B

Rationale: In chronic pancreatitis, it is important to increase protein intake to support healing and prevent malnutrition. Choice A is incorrect because decreasing caloric intake during abdominal pain may lead to further nutritional deficiencies. Choice C is incorrect as increasing fat intake can exacerbate symptoms due to the impaired fat digestion in chronic pancreatitis. Choice D is incorrect as alcohol should be completely avoided in chronic pancreatitis to prevent further damage to the pancreas.

2. All of the following are contraindications when giving Immunization except:

• A. BCG Vaccine can be given to a child with AIDS
• B. BCG Vaccine can be given to a child with Hepatitis B
• C. DPT can be given to a child that had convulsion 3 days after being given the first DPT dose
• D. DPT can be given to a child with active convulsion or other neurological disease

Correct answer: B

Rationale: The correct answer is B. BCG vaccine can be given to a child with Hepatitis B, as there is no contraindication for this. Choice A, C, and D all present contraindications for administering immunizations. Choice A is incorrect because giving BCG vaccines to a child with AIDS is a contraindication. Choice C is incorrect as convulsions after the first DPT dose indicate a contraindication to subsequent doses. Choice D is incorrect because active convulsions or other neurological diseases are contraindications to receiving the DPT vaccine.

3. A client who practices Islam and is currently observing dietary restrictions for the month of Ramadan. Which of the following interventions should the nurse include in the plan of care?

• A. Remove pork products from the dietary plan
• B. Facilitate fasting during daylight hours
• C. Serve meat and dairy items together
• D. Provide a low-carb diet on Fridays

Correct answer: B

Rationale: During Ramadan, individuals fast from dawn to sunset. Facilitating fasting during daylight hours respects the dietary practices of clients observing Ramadan. Choice A is incorrect as the dietary restriction during Ramadan involves abstaining from all food and drink during daylight hours, not just beef products. Choice C is incorrect as Muslims generally do not consume meat and dairy together due to religious dietary laws. Choice D is incorrect as providing a low-carb diet on Fridays does not specifically align with the dietary restrictions observed during Ramadan.

4. Does the hypothalamus control the feeling of hunger and satiety, and are fats the best nutrient in creating the feeling of satiety?

• A. TRUE
• B. FALSE
• C.
• D.

Correct answer: A

Rationale: Yes, the hypothalamus plays a crucial role in regulating hunger and satiety. Fats are indeed known to be highly satiating nutrients, helping to create a feeling of fullness and satisfaction after a meal. Therefore, both statements are true. Choice B is incorrect because fats are indeed effective in promoting satiety.

5. Although a balanced diet is essential for tissue healing and repair, which of the following should the dental hygienist identify as the nutrient of highest priority for a patient with gingivitis or periodontal disease?

• A. Carbohydrates
• B. Vitamin C
• C. Vitamin D
• D. Monosaccharides

Correct answer: B

Rationale: Vitamin C is crucial for collagen production and connective tissue repair, making it a key nutrient for healing gingival tissues in patients with gingivitis or periodontal disease. Carbohydrates are a source of energy and not directly related to tissue repair. Vitamin D is important for bone health but is not the highest priority for gingival tissue healing. Monosaccharides are simple sugars and not as essential for tissue repair as Vitamin C.

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