Nursing Elites

1. Dental hygienists should not encourage patients with eating disorders such as bulimia to brush immediately after vomiting because self-induced vomiting causes erosion of tooth enamel and dentin hypersensitivity.

• A. Both the statement and the reason are correct and related
• B. Both the statement and the reason are correct but are not related
• C. The statement is correct, but the reason is not correct
• D. The statement is not correct, but the reason is correct

Correct answer: D

Rationale: The corrected question emphasizes that patients with eating disorders like bulimia should not brush immediately after vomiting as it can worsen enamel erosion due to the acidic content in the mouth. The correct answer is D because patients should rinse with water or a fluoride mouthwash instead of brushing to protect their teeth. Choice A is incorrect because encouraging patients to brush after vomiting is not recommended. Choice B is incorrect as the reason provided is valid but not suitable for the action of encouraging brushing. Choice C is incorrect as the reason for not brushing after vomiting is to prevent enamel erosion.

2. A nurse is completing an admission assessment on an adolescent client who is vegan. Which breakfast item should the nurse recommend as a protein combination with their diet restriction?

• A. Bagel with cream cheese
• B. Wheat toast with jelly
• C. Oatmeal pancakes with peanut butter
• D. Eggs with tofu bacon

Correct answer: C

Rationale: The correct answer is C: Oatmeal pancakes with peanut butter. For a vegan client, it is important to recommend plant-based protein sources. Oatmeal pancakes with peanut butter offer a good protein combination that aligns with their dietary restriction. Choices A, B, and D are not suitable as they all contain animal-derived products, which are not suitable for a vegan diet.

3. Through the client’s health history, you gather that Mr. Dizon smokes and drinks coffee. When taking the blood pressure of a client who recently smoked or drank coffee, how long should the nurse wait before taking the client’s blood pressure for accurate reading?

• A. 15 minutes
• B. 30 minutes
• C. 1 hour
• D. 5 minutes

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.

4. Which enzyme is most essential for the digestion of triglycerides found in butterfat?

• A. Gastric lipase
• B. Pepsin
• C. Mucus
• D. Intrinsic factor

Correct answer: A

Rationale: The correct answer is A: Gastric lipase. Gastric lipase is crucial for the digestion of short- and medium-chain triglycerides, such as those found in butterfat. Pepsin is involved in protein digestion, not lipid digestion. Mucus acts as a protective barrier in the stomach and does not play a direct role in lipid digestion. Intrinsic factor is involved in the absorption of vitamin B12 and is not related to the digestion of triglycerides.

5. When assessing older adult clients for malnutrition at an adult day care center, which risk factors should the nurse consider?

• A. Dental problems
• B. Depression
• C. Both A and B
• D. Ability to prepare meals

Correct answer: C

Rationale: The correct answer is C: Both A and B. Dental problems and depression are both significant risk factors for malnutrition in older adults. Dental problems can lead to difficulty in chewing and swallowing, resulting in reduced food intake. On the other hand, depression can cause changes in appetite and decreased interest in eating, which can also contribute to malnutrition. Although the ability to prepare meals is important, it is not specifically identified as a risk factor for malnutrition within the context of this question. Therefore, choices A and B are the most appropriate answers.

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