Nursing Elites

1. What does oliguria lead to in patients with acute kidney injury?

• A. Hypophosphatemia and overgrowth of bone tissue
• B. An increase in blood potassium levels due to excessive excretion of parathyroid hormone
• C. Sodium retention and elevated levels of potassium
• D. Edema due to increased urine production

Correct answer: C

Rationale: In patients with acute kidney injury, oliguria (reduced urine output) often results in sodium retention and hyperkalemia (elevated levels of potassium). This is due to the kidneys' decreased capacity to excrete these substances. Choice A is incorrect because hypophosphatemia and overgrowth of bone tissue are not direct consequences of oliguria in acute kidney injury. Choice B is incorrect because an increase in blood potassium levels is not caused by excessive excretion of parathyroid hormone but rather by decreased excretion of potassium. Choice D is incorrect because edema is not caused by increased urine production but rather by fluid overload due to decreased urine output.

2. Each is a physiologic role of vitamin D, except one. Which is the exception?

• A. Hematopoiesis
• B. Cardiac and neuromuscular function
• C. Immune responses
• D. Serum calcium regulation

Correct answer: A

Rationale: The correct answer is A, Hematopoiesis. Vitamin D plays a crucial role in regulating serum calcium levels, which is essential for maintaining cardiac and neuromuscular function. Additionally, vitamin D is involved in modulating immune responses. However, hematopoiesis, the formation of red blood cells, is not a direct physiologic role of vitamin D. Therefore, hematopoiesis is the exception among the listed functions of vitamin D.

3. When can a patient's medical record become a potential issue for the doctor or nurse?

• A. When the record is extensive
• B. When a medical record is subpoenaed in court
• C. When it is missing
• D. When the medical record is inaccurate, incomplete, or inadequate

Correct answer: D

Rationale: The correct answer is D. A medical record becomes a potential issue for a doctor or a nurse when it is inaccurate, incomplete, or inadequate. This is because a medical record is a key tool for healthcare professionals to track a patient's history, treatment, and progress. If the record is not accurate or complete, it can lead to misdiagnosis, incorrect treatment, or other potential problems in patient care. While missing records (Choice C) could be a problem, they do not directly implicate the doctor or nurse in the same way that inaccurate or inadequate records do. An extensive record (Choice A) or a record being subpoenaed in court (Choice B) are not inherently problematic for healthcare professionals and do not necessarily reflect negatively on their work.

4. Which of the following is the least likely reason that osteoporosis is more prevalent in women?

• A. women have smaller bodies
• B. women have lower bone mass
• C. women consume less calcium
• D. bone loss begins later in women

Correct answer: D

Rationale: The correct answer is D. Contrary to the statement, bone loss begins earlier in women, particularly after menopause, due to the decrease in estrogen levels. This drop in estrogen accelerates bone loss, contributing to the higher prevalence of osteoporosis in women. Choices A, B, and C are more likely reasons for the increased prevalence of osteoporosis in women. Women generally have smaller bodies, lower bone mass compared to men, and may consume less calcium, all of which are significant factors contributing to the higher incidence of osteoporosis in women.

5. 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.

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