Nursing Elites

1. AIDS enteropathy is most commonly manifested as _____.

• A. abdominal pain and rectal bleeding
• B. diarrhea and weight loss
• C. abdominal bloating and flatulence
• D. rectal fissures and constipation

Correct answer: B

Rationale: AIDS enteropathy typically presents as diarrhea and weight loss due to the impact of HIV on the gastrointestinal tract. While abdominal pain and rectal bleeding (Choice A), abdominal bloating and flatulence (Choice C), and rectal fissures and constipation (Choice D) can occur in some cases, the most common manifestations are diarrhea and weight loss.

2. Select all that apply. You are interested in learning about the effect of eating diet soft drinks on your health. Your internet search leads you to a website with the ending .com, which tells you that diet soft drinks contain sugar alcohols that can cause harm. Which of the following actions are logical?

• A. notice if there are any ads on the page that suggest conflicts of interest
• B. read about consuming diet soft drinks in the dietary guidelines for Americans
• C. visit a more credible website and compare information
• D. all of the above

Correct answer: D

Rationale: Logical steps include evaluating the credibility of the website, reading official guidelines, comparing information from credible sources, and verifying the author's qualifications.

3. A nurse is providing dietary teaching for a client who has a burn injury and adheres to a vegan diet. The nurse should recommend which of the following foods as the best source of protein to promote wound healing?

• A. One cup of brown rice
• B. One cup of orange juice
• C. One cup of pureed avocado
• D. One cup of lentils

Correct answer: D

Rationale: Lentils are an excellent source of plant-based protein, essential for wound healing in a vegan diet. Brown rice, orange juice, and pureed avocado are not protein-rich foods like lentils and would not provide sufficient protein for wound healing in this scenario.

4. For a client with a history of gout, which food should be included in their diet?

• A. Red meat
• B. Whole grains
• C. High-fat dairy
• D. Processed meats

Correct answer: B

Rationale: Whole grains are low in purines and are a better choice for someone with gout.

5. During an initial visit with an older adult client living alone and having difficulty preparing meals, what should the home health nurse do first?

• A. Discuss nutritional requirements with the client.
• B. Refer the client to a senior citizen center.
• C. Arrange for a home-delivered meal program.
• D. Perform a nutrition screening.

Correct answer: D

Rationale: Performing a nutrition screening is the most appropriate action for the nurse to take first. This allows the nurse to assess the client's current nutritional status and identify any specific needs. Discussing nutritional requirements with the client (Choice A) may be important but should come after the initial assessment. Referring the client to a senior citizen center (Choice B) or arranging for a home-delivered meal program (Choice C) are actions that may be considered later based on the findings of the nutrition screening.

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