Nursing Elites

1. The healthcare professional in the dialysis unit understands that patients may experience various complications during hemodialysis. What describes a common complication during hemodialysis?

• A. confusion
• B. profuse sweating
• C. hypertension
• D. leg cramps

Correct answer: D

Rationale: Leg cramps are a common complication during hemodialysis due to shifts in fluid and electrolyte levels that occur during the treatment. Confusion (choice A) is not a common complication specifically related to hemodialysis. Profuse sweating (choice B) is not typically associated with hemodialysis complications. Hypertension (choice C) might be a pre-existing condition in some patients but is not a direct common complication of hemodialysis.

2. If a child has two or more pink signs, you would classify the child as having:

• A. No disease
• B. Mild form of disease
• C. Urgent Referral
• D. Very severe disease

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.

3. A healthcare professional is preparing an education program for a group of parents of adolescents. Which of the following should be included as indicators of nutritional risk among adolescents? (Select one that does not apply.)

• A. Skipping more than three meals per week
• B. Eating fast food once weekly
• C. Eating without family supervision frequently
• D. Frequently skipping breakfast

Correct answer: B

Rationale: Among the indicators of nutritional risk among adolescents, skipping meals, eating without family supervision, and frequently skipping breakfast are commonly associated with poor nutrition. However, eating fast food once weekly may not necessarily indicate a significant nutritional risk, as occasional consumption of fast food in moderation is not uncommon among adolescents. This choice is the correct answer because it does not strongly correlate with nutritional risk compared to the other options provided.

4. 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.

5. A client needs to increase his protein intake and enjoys certain foods. Which of the following foods should the nurse recommend as the best source of protein among these suggestions?

• A. Yams
• B. Eggs
• C. Chicken
• D. Peanuts

Correct answer: C

Rationale: Chicken is the best source of protein among the options provided. It is a lean source of protein and contains essential amino acids needed for the body. Eggs are also a good source of protein, but chicken typically contains more protein per serving compared to eggs. Peanuts are a good source of plant-based protein, but chicken provides a higher amount of protein and is usually leaner. Yams, while nutritious, are not a significant source of protein compared to chicken, eggs, or peanuts.

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