Nursing Elites

1. The nurse is caring for a client taking warfarin. Which meal brought in by the client's family is a priority to remove before the client eats it?

• A. Oriental cabbage salad with chicken
• B. Beef enchilada, rice, and beans
• C. Ham and cheese sandwich
• D. Macaroni salad and grapefruit slices

Correct answer: C

Rationale: The correct answer is C. Ham is high in vitamin K, which can interfere with warfarin. Vitamin K can decrease the effectiveness of warfarin, an anticoagulant medication. Choices A, B, and D do not contain high levels of vitamin K and are less likely to interfere with the client's warfarin therapy.

2. A nurse at a provider's office is providing teaching to a client who is taking chemotherapy and losing weight. Which of the following should the nurse recommend to increase calorie and protein intake? (Select one that does not apply.)

• A. Top yogurt with fruits.
• B. Add cream to soups.
• C. Use milk instead of water in recipes.
• D. Increase fluids during meals.

Correct answer: D

Rationale: The correct recommendation to increase calorie and protein intake for a client taking chemotherapy and losing weight is to add cream to soups (choice B), as it provides additional calories and proteins. Using milk instead of water in recipes (choice C) can also increase the calorie and protein content. Topping yogurt with fruits (choice A) can be a healthy choice but may not significantly increase calorie and protein intake. Increasing fluids during meals (choice D) may fill up the stomach, potentially reducing the intake of solid foods, which is not ideal when trying to increase calorie and protein consumption.

3. Nutrients that may help decrease high blood pressure levels include:

• A. magnesium and sodium
• B. protein and monounsaturated fat
• C. calcium and potassium
• D. dietary fiber and plant sterols

Correct answer: C

Rationale: Calcium and potassium play vital roles in regulating blood pressure, with potassium helping to balance the negative effects of sodium.

4. Which of the four phases of emergency management is defined as 'sustained action that reduces or eliminates long-term risk to people and property from natural hazards and their effects'?

• A. Recovery
• B. Mitigation
• C. Response
• D. Preparedness

Correct answer: B

Rationale: The correct answer is B, 'Mitigation.' Mitigation is the phase of emergency management that focuses on sustained actions aimed at reducing or eliminating long-term risks to people and property from natural hazards. Recovery (A) involves restoring and rebuilding infrastructure, housing, and services after a disaster. Response (C) deals with immediate actions taken to save lives and prevent further damage during a disaster. Preparedness (D) involves planning, training, and equipping organizations and communities to effectively respond to emergencies.

5. A nurse is teaching a nutrition class for clients who have type 2 diabetes mellitus. Which of the following statements should the nurse include about management of acute illness?

• A. Consume carbs every 3-4 hrs
• B. Decrease fluid intake to 1000 mL per day
• C. Monitor blood glucose twice per day
• D. Check urine for ketones every 24 hrs

Correct answer: A

Rationale: The correct statement is to 'Consume carbs every 3-4 hours.' During acute illness, it is important to maintain a consistent carbohydrate intake to help manage blood glucose levels for clients with type 2 diabetes. This frequent consumption can prevent hypoglycemia and provide energy needed during illness. Decreasing fluid intake (choice B) is not recommended during acute illness, as hydration is crucial to prevent complications. Monitoring blood glucose (choice C) more frequently than twice a day is necessary during acute illness. Checking urine for ketones (choice D) should be done more frequently than once every 24 hours during illness to monitor for diabetic ketoacidosis.

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