Nursing Elites

1. Most nurses regard this conventional recording of the date, time, and mode by which the patient leaves a healthcare unit but this record includes importantly, directs of planning for discharge that starts soon after the person is admitted to a healthcare institution. It is accepted that collaboration or multidisciplinary involvement (of all members of the health team) in discharge results in comprehensive care. What do you call this?

• A. Discharge Summary
• B. Nursing Kardex
• C. Medicine and Treatment Record
• D. Nursing Health History and Assessment Worksheet

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.

2. A client receiving continuous enteral tube feeding reports cramping and abdominal distention. Which of the following actions should the nurse take?

• A. Check for gastric residual.
• B. Apply low intermittent suction.
• C. Increase the rate of the feeding.
• D. Request a higher-fat formula.

Correct answer: A

Rationale: When a client on continuous enteral tube feeding experiences cramping and abdominal distention, the nurse should check for gastric residual. This assessment helps determine if the client is tolerating the feeding well or if there is a potential issue such as feeding intolerance. Applying low intermittent suction, increasing the feeding rate, or requesting a higher-fat formula are not appropriate actions for addressing the reported symptoms and may exacerbate the client's discomfort or lead to further complications.

3. An essential nutrient must:

• A. be eaten every day
• B. be obtained by the diet
• C. be water soluble
• D. be eaten at every meal

Correct answer: B

Rationale: The correct answer is B: 'be obtained by the diet.' Essential nutrients are those that the body cannot synthesize in sufficient quantities and must therefore be obtained through the diet. Choice A is incorrect because not all essential nutrients need to be consumed daily; the frequency of consumption varies. Choice C is incorrect because not all essential nutrients are water-soluble; they can be water-soluble or fat-soluble. Choice D is incorrect because essential nutrients do not need to be consumed at every meal, but rather need to be included in the overall diet regularly.

4. Macronutrients include each of the following except one. Which one is the exception?

• A. Fat
• B. Polyunsaturated fatty acids
• C. Carbohydrate
• D. Protein

Correct answer: D

Rationale: Macronutrients are nutrients required by the body in large amounts to provide energy and include carbohydrates, fats, and proteins. While protein is essential for the body, it is not classified as a macronutrient. Proteins are made up of amino acids and serve various functions in the body, such as building and repairing tissues, but they are not a direct energy source like carbohydrates and fats. Therefore, protein is the exception among the listed options, making it the correct answer. Choice A, Fat, Choice B, Polyunsaturated fatty acids, and Choice C, Carbohydrate, are all examples of macronutrients that provide energy and support various bodily functions.

5. The nurse knows that the most common complication of Measles is: A Pneumonia and larynigotracheitis

• A. Encephalitis
• B. Otitis Media
• C. Bronchiectasis
• D.

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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