Nursing Elites

1. Each statement is true of rickets, except one. Which is the exception?

• A. Rickets is being diagnosed more frequently in the United States.
• B. Rickets is caused by vitamin C deficiency.
• C. Tachetic deformities such as bow legs or knock-knees develop.
• D. A narrow and distorted chest occurs.

Correct answer: B

Rationale: Rickets is caused by vitamin D deficiency, not vitamin C deficiency. It usually occurs in children who are 1 to 3 years old. The name rickets came from the word 'wrikken,' meaning 'to bend or twist.' Common manifestations of rickets include tachetic deformities like bow legs or knock-knees, a narrow and distorted chest, and failure of the epiphyses of bones to develop normally, resulting in twisted and warped bones. While the diagnosis of rickets may be increasing in the United States, it is not caused by a lack of vitamin C.

2. Does the reduction in oxidative damage that occurs with energy restriction in animals also occur in people whose diets include _____?

• A. fiber and carbohydrates
• B. fatty acids and protein
• C. probiotics
• D. antioxidants and phytochemicals

Correct answer: D

Rationale: The correct answer is 'antioxidants and phytochemicals'. Antioxidants and phytochemicals help reduce oxidative damage in the body, contributing to healthy aging and a lower risk of chronic diseases. This is the same effect observed in animals when their energy intake is restricted. The other choices are incorrect as there is no direct evidence connecting reduced oxidative damage with diets high in fiber and carbohydrates, fatty acids and protein, or probiotics.

3. What is the medical term for a persistent, abnormal distortion of taste?

• A. Anosmia
• B. Dysgeusia
• C. Xerostomia
• D. Hypogeusia

Correct answer: B

Rationale: The correct answer is Dysgeusia, which is a persistent and abnormal distortion of the sense of taste. This condition can be triggered by various factors such as medications or certain diseases. Anosmia, choice A, refers to the loss of the sense of smell, not taste. Xerostomia, choice C, is the medical term for dry mouth, which is not specifically related to a distortion of taste. Hypogeusia, choice D, refers to a reduced ability to taste things, which is not the same as a distortion of the sense of taste.

4. A client who is 2 days postoperative following abdominal surgery is about to progress from a clear liquid diet to full liquids. Which of the following items should the nurse tell the client he may now request to have on his meal tray?

• A. Cranberry juice
• B. Flavored gelatin
• C. Skim milk
• D. Chicken broth

Correct answer: A

Rationale: Cranberry juice is an appropriate choice for a client transitioning from a clear liquid diet to full liquids post abdominal surgery. It provides hydration and some essential nutrients. Flavored gelatin is usually allowed on a clear liquid diet and may not be suitable for a full liquids phase. Skim milk and chicken broth are typically introduced in a later stage of the diet progression, closer to a soft diet, due to their higher protein and fat content.

5. Being in contact with reality and the environment is a function of the:

• A. conscience
• B. ego
• C. id
• D. super ego

Correct answer: B

Rationale: Being in contact with reality and the environment is a function of the ego. The ego is responsible for mediating between the id's basic desires, the superego's idealistic standards, and the real world. The conscience (not listed as a choice) is related to feelings of guilt or moral responsibility. The id represents primal instincts, and the superego represents the internalized ideals and moral standards.

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