Nursing Elites

1. A client who is postpartum and has been diagnosed with iron deficiency anemia should be taught to consume which of the following dietary recommendations?

• A. Yogurt and mozzarella
• B. Spinach and beef
• C. Milk and turkey slices
• D. Fish and cottage cheese

Correct answer: C

Rationale: The correct answer is spinach and beef. Both spinach and beef are high in iron, making them excellent choices to help combat iron deficiency anemia. Yogurt, mozzarella, milk, turkey slices, fish, and cottage cheese are not as rich in iron compared to spinach and beef, so they are not the most suitable dietary recommendations for a client with iron deficiency anemia.

2. Myxedema coma is a life-threatening complication of long-standing and untreated hypothyroidism with one of the following characteristics.

• A. Hyperglycemia
• B. Hypothermia
• C. Hyperthermia
• D. Hypoglycemia

Correct answer: A

Rationale: Myxedema coma is associated with hypothermia, not hyperthermia. Therefore, the correct characteristic of myxedema coma is hypothermia. This condition is a medical emergency that requires prompt recognition and intervention to prevent serious complications. The presence of hyperglycemia is not a defining characteristic of myxedema coma, making choice A the correct answer in this case. Hyperthermia and hypoglycemia are not typically seen in myxedema coma and are not consistent with the clinical presentation of this condition.

3. After a vaginal examination, the nurse determines that the client’s fetus is in an occiput posterior position. The nurse would anticipate that the client will have:

• A. A precipitous birth
• B. Intense back pain
• C. Frequent leg cramps
• D. Nausea and vomiting

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.

4. Which of the following categories identifies the focus of community/public health nursing practice?

• A. Promoting and maintaining the health of populations and preventing and minimizing the progress of disease
• B. Rehabilitation and restorative services
• C. Adaptation of hospital care to the home environment
• D. Hospice care delivery

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

5. What food is most likely a source of trans fats in the diet?

• A. red meat
• B. peanut oil
• C. corn chips
• D. salmon

Correct answer: C

Rationale: The correct answer is C: corn chips. Corn chips, especially those processed and fried, are a common source of trans fats, which are associated with an increased risk of heart disease. Red meat (choice A) and salmon (choice D) do not typically contain trans fats unless they are processed or cooked in trans fat-containing oils. Peanut oil (choice B) can be a healthier option compared to trans fat-containing oils.

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