Nursing Elites

1. During the detoxification stage, it is a priority for the nurse to:

• A. teach skills to recognize and respond to health threatening situations
• B. increase the client’s awareness of unsatisfactory protective behaviors
• C. implement behavior modification
• D. promote homeostasis and minimize the client’s withdrawal symptoms

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

2. Which outcome has been shown to be most closely associated with breastfeeding infants of mothers who smoke?

• A. poor temperature regulation
• B. vision impairment
• C. vomiting
• D. elevated blood pressure

Correct answer: C

Rationale: The correct answer is C: vomiting. Infants breastfed by mothers who smoke are more likely to experience vomiting and gastrointestinal issues due to the transfer of nicotine and other harmful substances through breast milk. Choices A, B, and D are incorrect. Poor temperature regulation, vision impairment, and elevated blood pressure are not the primary outcomes closely associated with breastfeeding infants of mothers who smoke.

3. A nurse is completing a nutritional assessment of an adult female client. Which of the following findings should indicate to the nurse that the client is at an increased risk of developing cancer?

• A. Eats at least 5 servings of fruits and vegetables daily.
• B. Eats 6 servings of whole grains daily.
• C. Limits alcohol consumption to 2 drinks per day.
• D. Limits red meat intake to 3oz per day.

Correct answer: C

Rationale: The correct answer is C because limiting alcohol consumption to 2 drinks per day is still above the recommended limit for reducing cancer risk. The recommended limit for women is 1 drink per day to lower the risk of developing cancer. Choices A, B, and D are not indicative of an increased risk of developing cancer as they all align with a healthy diet and lifestyle, which can actually help reduce the risk of cancer.

4. A common side effect of diuretic medications is _____.

• A. dry mouth
• B. urinary tract infection
• C. increased taste perception
• D. nausea

Correct answer: A

Rationale: Diuretic medications can lead to dry mouth due to increased fluid loss through urination, reducing saliva production.

5. In cleaning the stoma, the nurse would use which of the following cleaning mediums?

• A. Hydrogen Peroxide, water and mild soap
• B. Providone Iodine, water and mild soap
• C. Alcohol, water and mild soap
• D. Mild soap and water

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

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