Nursing Elites

1. In persons who are obese, weight reduction can improve such CHD risk factors as hypertension, blood lipid abnormalities, and?

• A. inflammation
• B. insulin resistance
• C. gastrointestinal motility disorders
• D. damage from cigarette smoking

Correct answer: B

Rationale: Weight reduction in obese individuals can improve insulin resistance, a key factor in reducing the risk of coronary heart disease and type 2 diabetes.

2. When conducting assessments for malnutrition, which risk factors should the nurse consider? (SATA)

• A. Dental problems
• B. Depression
• C. Ability to read and write
• D. All of the above

Correct answer: D

Rationale: When assessing for malnutrition, nurses should consider multiple risk factors. Dental problems and depression can impact a person's ability to eat and maintain proper nutrition. The ability to read and write may not directly relate to malnutrition risk. The correct answer is 'All of the above' because dental problems and depression are indeed risk factors, along with other factors like the inability to prepare meals and the loss of a spouse.

3. What is the form in which energy from excess intake of proteins, fats, alcohol, and carbohydrates is stored?

• A. Protein
• B. Fat
• C. Carbohydrates
• D. Alcohol

Correct answer: B

Rationale: When the body consumes more energy than it needs, the surplus is stored as fat, regardless of whether the energy source was proteins, fats, alcohol, or carbohydrates. This is why the correct answer is 'Fat'. Other choices are incorrect because, in excess intake situations, the body does not store surplus energy as proteins, carbohydrates, or alcohol.

4. A nurse is teaching a client who needs to increase their daily fluid intake. Which of the following foods has the highest percentage of water by weight?

• A. Yogurt
• B. Milk
• C. Lettuce
• D. Honey

Correct answer: C

Rationale: The correct answer is Lettuce. Lettuce has the highest percentage of water by weight among the options provided, making it an excellent choice to increase fluid intake. Yogurt and milk have some water content but are not as high in water percentage as lettuce. Honey, on the other hand, contains very little water and is not a good choice for increasing fluid intake.

5. A client scheduled for hysterosalpingography needs health teaching before the procedure. The nurse is correct in telling the patient that:

• A. She needs to void prior to the procedure
• B. A full bladder is needed prior to the procedure
• C. Painful sensation is felt as the needle is inserted
• D. Flushing sensation is felt as the dye in injected

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.

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