Nursing Elites

1. Which strategy would most likely help alleviate some of the nausea that a 10-week pregnant woman experiences every morning, preventing her from eating breakfast?

• A. Increase intake of dairy products, including yogurt and ice cream
• B. Maintain an upright position while eating
• C. Opt for foods that are high in fiber
• D. Consume small, frequent meals when hunger strikes

Correct answer: D

Rationale: The correct answer is D, 'Consume small, frequent meals when hunger strikes.' This strategy is ideal for managing morning sickness because it prevents the stomach from becoming too empty, which can exacerbate nausea. Option A may not be helpful because dairy products can sometimes worsen nausea. Option B is not the most effective solution as the sitting position does not directly impact nausea levels. Option C, while generally beneficial for digestion and overall health, does not specifically address the issue of pregnancy-related nausea.

2. What stimulates bile secretion from the liver to the small intestine?

• A. Pepsin
• B. Salivary Amylase
• C. CCK
• D. Secretin

Correct answer: C

Rationale: Cholecystokinin (CCK) is the hormone that stimulates the release of bile from the gallbladder into the small intestine, aiding in fat digestion. Pepsin is an enzyme in the stomach that breaks down proteins into smaller peptides, not involved in bile secretion. Salivary Amylase is an enzyme in saliva that initiates starch digestion in the mouth, not related to bile secretion. Secretin is a hormone that regulates the release of gastric juice in the stomach and triggers the pancreas to neutralize stomach acid in the small intestine, but it does not stimulate bile secretion.

3. Studies suggest that leukoplakia is resolved by excess vitamin A (a fat-soluble vitamin), retinoids, and beta-carotene. Leukoplakia is a white plaque that forms on oral mucous membranes.

• A. Both statements are true.
• B. Both statements are false.
• C. The first statement is true; the second is false.
• D. The first statement is false; the second is true.

Correct answer: B

Rationale: Both statements are false. Studies suggest that leukoplakia, a white plaque that forms on oral mucous membranes, can be resolved by vitamin A, retinoids, and beta-carotene. Despite the potential to resolve leukoplakia, relapse is common. Also pertinent, evidence does not indicate that any of these nutrients prevent malignant transformation. The extract provided clarifies that leukoplakia is a white plaque, not an erythematous lesion, and that vitamin A, retinoids, and beta-carotene can help resolve it.

4. Without enough calcium, both males and females are at risk of osteoporosis.

• A. TRUE
• B. FALSE
• C.
• D.

Correct answer: A

Rationale: The statement is true. Both males and females are at risk of developing osteoporosis if they do not consume enough calcium. Calcium is essential for maintaining strong bones, and inadequate intake can lead to bone density loss and increase the risk of osteoporosis. Therefore, it is crucial for individuals of all genders to ensure they have an adequate calcium intake to support bone health. Choice B is incorrect because osteoporosis is a condition that can affect both males and females.

5. When doing an initial assessment, the best way for you to identify the client’s priority problem is to:

• A. Interview the client for chief complaints and other symptoms
• B. Talk to the relatives to gather data about history of illness
• C. Do auscultation to check for chest congestion
• D. Do a physical examination while asking the client relevant questions

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

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