Nursing Elites

1. What are the manifestations of nephrotic syndrome?

• A. Dehydration
• B. Uremia
• C. Infection
• D. Low blood lipids

Correct answer: C

Rationale: Infection is a common manifestation of nephrotic syndrome. This is due to the loss of immunoglobulins in the urine, which weakens the body's immune defenses. Dehydration (Choice A) and uremia (Choice B) can be symptoms of kidney dysfunction but are not specific manifestations of nephrotic syndrome. Low blood lipids (Choice D) is incorrect as nephrotic syndrome typically results in high, not low, blood lipid levels due to the body's attempt to replace lost proteins.

2. Diseases of the heart and blood vessels are collectively referred to as _____.

• A. Coronary artery disease
• B. Cardiovascular disease
• C. Coronary heart disease
• D. Coronary vessel disease

Correct answer: B

Rationale: The correct term for diseases of the heart and blood vessels is cardiovascular disease. While coronary artery disease (Choice A) specifically involves the narrowing of coronary arteries, it is just one type of cardiovascular disease. Coronary heart disease (Choice C) is also a specific condition related to the heart's blood vessels. Choice D, coronary vessel disease, is not a commonly used term to describe diseases of the heart and blood vessels. Therefore, Choice B, cardiovascular disease, is the most inclusive and appropriate term to refer to these conditions.

3. Which enzyme digests fiber in the large intestine?

• A. salivary amylase
• B. pancreatic amylase
• C. cellulase
• D. none of the above

Correct answer: D

Rationale: The correct answer is 'none of the above.' Human digestive enzymes like salivary amylase and pancreatic amylase cannot digest fiber. Instead, fiber is fermented by gut bacteria in the large intestine. Cellulase, which is an enzyme produced by some animals and microorganisms, can break down cellulose found in plants, but it is not a human digestive enzyme, making it an incorrect choice in this context.

4. In teaching the sister of a diabetic client about the proper use of a glucometer in determining the blood sugar level of the client, The nurse is focusing in which domain of learning according to bloom?

• A. Cognitive
• B. Affective
• C. Psychomotor
• D. Affiliative

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

5. The counting of sponges is done by the Surgeon together with the:

• A. Circulating nurse
• B. Scrub nurse
• C. Assistant surgeon
• D. Nurse supervisor

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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