Nursing Elites

1. Salome was fitted a hearing aid. She understood the proper use and wear of this device when she says that the battery should be functional, the device is turned on and adjusted to a:

• A. therapeutic level
• B. comfortable level
• C. prescribed level
• D. audible level

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. The nurse is working with a patient who recently had a stroke. The patient frequently chokes and coughs when eating and is having difficulty feeding herself. What is the best way to ensure adequate nutrition?

• A. to have an aide feed her at each meal
• B. to ask a family member to assist during meals
• C. to provide tube feedings for the patient
• D. to initiate TPN for the patient

Correct answer: C

Rationale: The best way to ensure adequate nutrition for a stroke patient who frequently chokes and coughs when eating and has difficulty feeding herself is to provide tube feedings. Tube feedings are a safe and effective method to deliver nutrition directly to the stomach or intestines, bypassing the swallowing mechanism, reducing the risk of aspiration. Having an aide feed her each meal (choice A) may not address the underlying issue of swallowing difficulty and aspiration risk. Asking a family member to be present at each meal (choice B) does not provide a definitive solution to the patient's nutritional needs. Placing the patient on total parenteral nutrition (TPN) (choice D) is a more invasive and typically reserved for patients who cannot tolerate enteral feedings or have non-functional gastrointestinal tracts.

3. A nurse is teaching a client about strategies to prevent constipation. Which of the following statements by the client indicates an understanding of the teaching?

• A. Drinking four to five glasses of water per day will prevent constipation.
• B. I should consume mineral oil once per day.
• C. Eating foods high in fiber will make elimination easier.
• D. I can skip a meal if I feel bloated.

Correct answer: C

Rationale: The correct answer is C. Eating foods high in fiber increases stool bulk and promotes easier elimination, thus preventing constipation. Choices A, B, and D are incorrect. Drinking water is important, but the emphasis should be on high-fiber foods. Mineral oil is not a recommended first-line treatment for constipation, and skipping meals can disrupt regular bowel movements, potentially leading to constipation.

4. Characteristics of type two diabetes include all of the following except:

• A. insulin resistance
• B. blood glucose levels that rise too high
• C. blood insulin levels that rise too high
• D. rapid destruction of the pancreas

Correct answer: D

Rationale: Type 2 diabetes is characterized by insulin resistance, high blood glucose levels, and high blood insulin levels. Rapid destruction of the pancreas is not a feature of this condition. The destruction of pancreatic beta cells is more commonly associated with type 1 diabetes, not type 2 diabetes. Therefore, option D is the correct answer. Options A, B, and C are all characteristic features of type 2 diabetes, making them incorrect choices.

5. Which practice is a type of traditional Chinese medicine?

• A. magnet therapy
• B. acupuncture
• C. faith healing
• D. biofeedback

Correct answer: B

Rationale: Acupuncture is a key practice in traditional Chinese medicine. It involves the insertion of thin needles into specific points on the body to balance energy flow and promote healing. Magnet therapy, faith healing, and biofeedback are not specifically associated with traditional Chinese medicine practices.

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