Nursing Elites

1. A nurse is teaching about implementing a heart-healthy diet to a client who has coronary artery disease. Which of the following foods should the nurse recommend to the client?

• A. Baked ham
• B. Processed cheese
• C. Broiled salmon
• D. Canned potato soup

Correct answer: C

Rationale: Broiled salmon is a heart-healthy food due to its high omega-3 fatty acid content, which helps reduce inflammation and improve cardiovascular health.

2. A nurse is providing education to a client who is experiencing dumping syndrome following gastric surgery. Which of the following statements by the client indicates an understanding of the teaching?

• A. I should drink additional fluids with my meals.
• B. I should eat high-fiber snacks between meals.
• C. I should eat a protein source with each meal.
• D. I can have caffeinated beverages in small amounts.

Correct answer: C

Rationale: Eating a protein source with each meal can help manage dumping syndrome by slowing gastric emptying and reducing symptoms.

3. A nurse is planning care for a toddler who has burns over 50% total body surface area. Which of the following actions should the nurse include in the plan of care?

• A. Administer enteral feedings
• B. Limit intake of vitamin C
• C. Limit dietary protein
• D. Administer insulin prior to meals

Correct answer: A

Rationale: Administering enteral feedings ensures adequate nutrition and supports healing in toddlers with extensive burns.

4. A nurse is teaching a nutrition class for clients who have type 2 diabetes mellitus. Which of the following statements should the nurse include about management of acute illness?

• A. Consume carbs every 3-4 hrs
• B. Decrease fluid intake to 1000 mL per day
• C. Monitor blood glucose twice per day
• D. Check urine for ketones every 24 hrs

Correct answer: A

Rationale: Consuming carbohydrates every 3-4 hours helps manage blood glucose levels during acute illness for clients with type 2 diabetes.

5. A nurse is providing anticipatory guidance to a client who has Phenylketonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion?

• A. Diet sodas should not be consumed more than two or three times per week.
• B. Serum bilirubin should be monitored one or two times per month during pregnancy
• C. Breastfeeding will prevent your baby from developing PKU.
• D. A low-protein diet should be followed for three months prior to conception.

Correct answer: D

Rationale: A low-protein diet helps manage PKU by reducing phenylalanine levels, which is crucial for maternal and fetal health.

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