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. When carbohydrates are eliminated from the diet to lose weight, which nutrients are most likely to become insufficient?

• A. Iron, fiber, and protein
• B. Iron, fiber, and vitamin K
• C. Vitamin A and vitamin C
• D. Iron, fiber, and B vitamins

Correct answer: D

Rationale: Iron, fiber, and B vitamins are most likely to become insufficient when carbohydrates are eliminated from the diet to lose weight. Carbohydrates are a primary source of B vitamins and fiber in the diet. Iron can also be obtained from plant-based sources like legumes and whole grains, which are often eliminated when carbohydrates are restricted. Choices A, B, and C are incorrect because protein, vitamin K, vitamin A, and vitamin C are not primarily sourced from carbohydrates and are less likely to become insufficient solely due to carbohydrate elimination.

3. 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.

4. What is the end product of lipid digestion?

• A. fatty acid
• B. sucrose
• C. monosaccharide
• D. amino acid

Correct answer: A

Rationale: The correct answer is A, fatty acid. During the process of lipid digestion, triglycerides are broken down into fatty acids and glycerol. These end products are then absorbed into the bloodstream or lymphatic system for further processing. Choices B, C, and D are incorrect because sucrose is a disaccharide, monosaccharide is a simple sugar unit, and amino acid is a building block of proteins, not the end product of lipid digestion.

5. The major determinant of a person's total cholesterol levels is the amount of cholesterol in their diet.

• A. True
• B. False
• C.
• D.

Correct answer: B

Rationale: It is false that the major determinant of a person's total cholesterol levels is the amount of cholesterol in their diet. While dietary cholesterol can have some impact on total cholesterol levels, it is not the major determinant. The amount and types of fats consumed, particularly saturated and trans fats, have a more significant impact on blood cholesterol levels. Therefore, a diet high in these types of fats can lead to high cholesterol, irrespective of the amount of dietary cholesterol consumed. This is why it is essential to maintain a balanced diet with a limited intake of saturated and trans fats.

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