Nursing Elites

1. In order to establish and maintain successful breastfeeding, which practice should a lactating mother try to follow?

• A. Initiate breastfeeding within 24 hours of birth
• B. Breastfeed on a schedule of every 2 to 3 hours
• C. Give a pacifier to an infant between feedings
• D. Find a breastfeeding support group to troubleshoot problems

Correct answer: D

Rationale: The correct answer is D. Finding a breastfeeding support group is crucial for a lactating mother to establish and maintain successful breastfeeding. This group can offer valuable advice, tips, and encouragement, helping the mother troubleshoot any issues that may arise during breastfeeding. Choices A, B, and C are incorrect because breastfeeding is a natural process that should not be overly scheduled, and giving a pacifier between feedings can interfere with establishing proper breastfeeding techniques.

2. Milk and other dairy products are preferred sources of calcium because lactose enhances calcium absorption.

• 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: A

Rationale: Both the statement and the reason are correct and related. Milk and other dairy products are indeed preferred sources of calcium because they supply most of the available calcium. Additionally, lactose present in dairy products enhances calcium absorption, making them even more efficient sources of this essential mineral. The statement correctly identifies dairy products as preferred sources of calcium, and the reason explains how lactose contributes to better calcium absorption. The other choices are incorrect as they do not accurately assess the relationship between lactose, calcium absorption, and the preference for dairy products as sources of calcium.

3. A client receiving total parenteral nutrition (TPN is awaiting the next container. What fluid should the nurse infuse in the interim?

• A. Dextrose 5% in water
• B. 0.9% sodium chloride
• C. Dextrose 10% in water
• D. Lactated Ringer's solution

Correct answer: B

Rationale: The correct answer is 0.9% sodium chloride. When a client receiving TPN is awaiting the next container, infusing 0.9% sodium chloride is the appropriate choice to maintain fluid and electrolyte balance. Dextrose solutions are not recommended as they do not provide sufficient nutrition. Lactated Ringer's solution contains electrolytes but lacks essential nutrients found in TPN, making it an inadequate choice during the delay in TPN delivery.

4. Which assessment finding indicates effective treatment for hyperemesis gravidarum?

• A. The client's glucose is within the normal range.
• B. The client ate 80% of their breakfast tray.
• C. There is no protein in the client's urine.
• D. The client's blood pressure is 145/75 mmHg.

Correct answer: B

Rationale: Improved appetite and food intake is an indication of effective treatment.

5. Which of the following vaccines is not done by intramuscular (IM) injection?

• A. Measles vaccine C. Hepa-B vaccine
• B. DPT D. Tetanus toxoids
• C.
• D.

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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