Nursing Elites

1. Loss of smell results in a condition that limits capacity to detect the flavor of food and beverages called:

• A. Hypergeusia
• B. Dysgeusia
• C. Anosmia
• D. Phantom taste

Correct answer: C

Rationale: Anosmia is the loss of the sense of smell, which significantly impacts the ability to detect flavors in food and beverages.

2. Which bond is formed by a positively charged metal ion and negatively charged nonmetal ion?

• A. Ionic bond
• B. Covalent bond
• C. Functional group
• D. Metallic bond

Correct answer: A

Rationale: The correct answer is an ionic bond. An ionic bond is formed when a positively charged metal ion joins with a negatively charged nonmetal ion, resulting in a transfer of electrons. In contrast, a covalent bond involves sharing electrons between atoms rather than complete transfer. Functional groups are specific groups of atoms within molecules that determine the molecule's chemical properties. Metallic bonds occur between metal atoms where electrons are shared across a delocalized electron cloud.

3. To raise HDL levels, what is Mrs. Smith advised to do?

• A. quit smoking
• B. increase dietary sodium
• C. take iron supplements
• D. avoid dairy products

Correct answer: A

Rationale: The correct answer is A: quit smoking. Smoking lowers HDL levels, so quitting smoking is crucial to raising HDL levels. Increasing dietary sodium (choice B) is not linked to raising HDL levels and can have negative effects on cardiovascular health. Taking iron supplements (choice C) is not directly related to increasing HDL levels. Avoiding dairy products (choice D) is not necessary to raise HDL levels; in fact, some dairy products like low-fat options can be part of a heart-healthy diet.

4. The nurse is completing a nutritional assessment on a client. Which statement made by the client is most concerning to the nurse?

• A. "I notice when I take a vitamin E supplement, I bruise more easily."
• B. "I work nights and rarely go outside during the day."
• C. "I take warfarin, so I need to limit the amount of green leafy vegetables I eat."
• D. "My vitamin supplement has the recommended daily allowance of vitamin A."

Correct answer: A

Rationale: The correct answer is A. Excessive intake of vitamin E can increase the risk of bleeding as it acts as a blood thinner. Bruising easily may indicate too much vitamin E. Choice B is not as concerning as it describes a lifestyle that may lead to vitamin D deficiency due to lack of sunlight exposure. Choice C shows awareness of the interaction between warfarin and vitamin K, which is expected. Choice D indicates knowledge of the vitamin A content in the supplement, which is not a cause for concern.

5. How would protein deficiency likely affect dental tissues?

• A. Decreased resistance to dental caries
• B. Increased tooth size
• C. Delayed tooth development
• D. Increased enamel mineralization

Correct answer: C

Rationale: Protein deficiency can lead to delayed tooth development as the body may not have enough resources to form teeth properly. This delay can make the teeth more susceptible to dental issues due to incomplete formation. Choices A, B, and D are incorrect. Decreased resistance to dental caries is more related to factors like poor oral hygiene and sugary diets, increased tooth size is not a common effect of protein deficiency on dental tissues, and increased enamel mineralization is not typically associated with protein deficiency.

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