Nursing Elites

1. Folate is crucial for DNA synthesis and cell division, making it particularly important during periods of rapid growth, such as pregnancy.

• A. TRUE
• B. FALSE
• C.
• D.

Correct answer: A

Rationale: The correct answer is A. Folate plays a crucial role in DNA synthesis and cell division, which are essential processes for cell multiplication. This makes folate particularly important during periods of rapid growth, such as pregnancy. Therefore, the statement is true. Choice B is incorrect because it fails to acknowledge the significance of folate in cell multiplication and rapid growth, especially during pregnancy.

2. Patients with congestive heart failure need to restrict their intake of:

• A. fiber
• B. sodium
• C. cholesterol
• D. saturated fat

Correct answer: B

Rationale: Patients with congestive heart failure need to restrict their intake of sodium. This restriction is crucial to prevent fluid retention, which can exacerbate the condition. While fiber is generally beneficial for heart health, sodium restriction is more critical in this scenario. Cholesterol and saturated fat intake should also be monitored, but sodium restriction takes precedence due to its direct impact on fluid balance.

3. A client who practices Islam and is currently observing dietary restrictions for the month of Ramadan. Which of the following interventions should the nurse include in the plan of care?

• A. Remove pork products from the dietary plan
• B. Facilitate fasting during daylight hours
• C. Serve meat and dairy items together
• D. Provide a low-carb diet on Fridays

Correct answer: B

Rationale: During Ramadan, individuals fast from dawn to sunset. Facilitating fasting during daylight hours respects the dietary practices of clients observing Ramadan. Choice A is incorrect as the dietary restriction during Ramadan involves abstaining from all food and drink during daylight hours, not just beef products. Choice C is incorrect as Muslims generally do not consume meat and dairy together due to religious dietary laws. Choice D is incorrect as providing a low-carb diet on Fridays does not specifically align with the dietary restrictions observed during Ramadan.

4. What is the absorbable unit of a protein?

• A. Amino acid
• B. Pepsin
• C. Glucose
• D. Sucrose

Correct answer: A

Rationale: Amino acids are the correct answer because they are the building blocks of proteins that the body absorbs after digestion. Pepsin, choice B, is incorrect as it is an enzyme that aids in the digestion of proteins, not the absorbable unit of them. Choices C and D, glucose and sucrose, are wrong because they are types of sugars, not proteins.

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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