Nursing Elites

1. Which of the following suggestions is the healthiest for Miguel, who is always hungry and never seems to feel full despite eating enough calories?

• A. Switch out energy-dense foods with more nutrient-dense foods that are more likely to make him feel full
• B. Drink adequate amounts of water
• C. A, B
• D. Eat foods with more fat, as fat slows gastric emptying and will make him feel more full

Correct answer: C

Rationale: The correct answer is A and B. Switching to more nutrient-dense foods can help Miguel feel full despite eating enough calories. Nutrient-dense foods provide essential nutrients and are more satisfying. Drinking adequate water is also crucial for overall health and can help with feelings of fullness. Choice D is incorrect because while fat can contribute to satiety, it should be consumed in balance with other nutrients. Consuming foods with high fat content excessively may lead to other health issues and does not address the underlying problem of feeling constantly hungry despite eating.

2. Which vitamin acts most like a hormone?

• A. Vitamin A
• B. Vitamin B
• C. Vitamin D
• D. Vitamin C

Correct answer: C

Rationale: The correct answer is Vitamin D. Although vitamin D, also known as calciferol, has been called a vitamin, it is more appropriately classified as a hormone. Like hormones, vitamin D acts to control the function of other cell types. For example, it helps the body absorb and regulate skeletal calcium and phosphorus levels. Choice A (Vitamin A) plays a crucial role in vision and immune function. Choice B (Vitamin B) is a complex of different vitamins that play various roles in the body. Choice D (Vitamin C) is important for collagen production and acts as an antioxidant.

3. What is the primary food safety concern for a patient undergoing chemotherapy?

• A. Possible food allergy reactions
• B. Possible food-drug interactions
• C. Possible pesticide residue
• D. Potential risk of foodborne illness

Correct answer: D

Rationale: The correct answer is D: Potential risk of foodborne illness. Patients undergoing chemotherapy have compromised immune systems, making them more susceptible to foodborne illnesses. Chemotherapy can reduce the count of white blood cells, which impairs the body's ability to fight off infections from bacteria or other pathogens that might be present in food. Therefore, the prevention of foodborne illnesses is a critical concern for these patients. Choices A, B, and C, while they represent valid concerns for food safety in general, are not the primary concern for patients undergoing chemotherapy. These patients are at a heightened risk of experiencing severe complications from foodborne illnesses, making it a more significant concern than potential food allergies, food-drug interactions, or pesticide residues.

4. When should a newborn transition to whole milk according to dietary teaching for breastfeeding parents?

• A. 6 months
• B. 8 months
• C. 10 months
• D. 12 months

Correct answer: D

Rationale: Breast milk or formula should be the primary source of nutrition for infants up to around 1 year of age. The transition to whole cow's milk is recommended at 12 months of age, not earlier. Introducing whole milk before 12 months can lead to digestive issues and nutrient deficiencies. Therefore, choices A, B, and C are incorrect as they suggest transitioning to whole milk before the recommended age of 12 months.

5. A client with a body mass index of 28 is seeking dietary advice. Which of the following actions should the nurse take?

• A. Encourage the client to continue their current daily caloric intake.
• B. Recommend a total fiber intake of 12g per day.
• C. Advise the client to add 500 calories per day to their diet.
• D. Refer the client to a weight-loss support group.

Correct answer: D

Rationale: Referring the client to a weight-loss support group is the most appropriate action for a client with a body mass index of 28. This action can provide the necessary support, guidance, and motivation to help the client achieve their weight loss goals. Encouraging the client to continue their current daily caloric intake (Choice A) may not address the need for weight loss. Recommending a total fiber intake of 12g per day (Choice B) is important for overall health but may not directly address weight loss. Advising the client to add 500 calories per day to their diet (Choice C) would not be beneficial for weight loss in this scenario.

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