Nursing Elites

1. What is the most likely demonstration of cardiac cachexia?

• A. Decreased physical activity
• B. Weight loss and tissue wasting
• C. Poor urine output and tissue edema
• D. Cardiac arrhythmia and wet lung sounds

Correct answer: B

Rationale: Cardiac cachexia is a condition characterized by severe weight loss and tissue wasting. This typically occurs in patients suffering from heart failure due to an increased energy expenditure and reduced appetite, which is why choice B is the correct answer. The other choices are incorrect as they do not accurately describe the symptoms of cardiac cachexia. Decreased physical activity (choice A) can be a result of many conditions, not specifically cardiac cachexia. Poor urine output and tissue edema (choice C) are more indicative of kidney problems rather than cardiac cachexia. Finally, cardiac arrhythmia and wet lung sounds (choice D) are symptoms related to other cardiac conditions, not specifically to cardiac cachexia.

2. Disposal of medical records in government hospitals/institutions must be done in close coordination with what agency?

• A. Department of Interior and Local Government (DILG)
• B. Metro Manila Development Authority (MMDA)
• C. Records Management Archives Office (RMAO)
• D. Department of Health (DOH)

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.

3. 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.

4. According to the DASH Eating Plan, Carmen's daily sodium intake should not exceed how many milligrams to ensure the plan's effectiveness?

• A. 1000 milligrams
• B. 2500 milligrams
• C. 3000 milligrams
• D. 1500 milligrams

Correct answer: D

Rationale: The DASH Eating Plan is designed to lower blood pressure and is most effective when daily sodium intake is limited to 1500 milligrams or less. Therefore, choice D is the correct answer. Choices A (1000 milligrams), B (2500 milligrams), and C (3000 milligrams) are incorrect because they either fall below or exceed the recommended daily sodium intake for the DASH Eating Plan.

5. What is the digestive action of lipase?

• A. It breaks down carbohydrates
• B. It breaks down proteins
• C. It breaks down lipids
• D. It aids in fat digestion

Correct answer: C

Rationale: Lipase is an enzyme that specifically breaks down lipids (fats) during the process of digestion, converting them into fatty acids and glycerol. This is why option C is the correct answer. Although option D is partially correct, it's less specific than option C. Lipase does not break down carbohydrates or proteins, so options A and B are incorrect.

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