Nursing Elites

1. The parent of a child newly diagnosed with lactose intolerance is being taught by the nurse. Which food items identified by the parent indicate an understanding of foods to avoid?

• A. Popcorn, seeds, and any foods containing nuts.
• B. Milk, cheese, ice cream, and puddings.
• C. Wheat, rye, barley, and commercially baked goods.
• D. Eggs, ham, bacon, and canned meats.

Correct answer: B

Rationale: The correct answer is B. Milk, cheese, ice cream, and puddings contain lactose, which individuals with lactose intolerance should avoid. Choices A, C, and D do not contain lactose and are not typically problematic for individuals with lactose intolerance.

2. A client who has dumping syndrome following a hemi-colectomy should avoid which of the following foods when receiving nutritional teaching from a nurse?

• A. Rice
• B. Poached eggs
• C. Fresh apples
• D. White bread

Correct answer: C

Rationale: Fresh apples should be avoided by a client with dumping syndrome following a hemi-colectomy because they are high in fiber and can exacerbate gastrointestinal symptoms such as diarrhea and bloating. Rice and poached eggs are good options as they are easily digestible and less likely to trigger dumping syndrome symptoms. White bread is also preferable over whole grain bread due to its lower fiber content, making it a better choice for individuals with dumping syndrome.

3. The oral cavity is the site of a wide variety of systemic disease manifestations due to:

• A. Rapid cellular turnover
• B. Constant attack by microorganisms
• C. Trauma-intense environment
• D. All of the above

Correct answer: D

Rationale: The oral cavity is indeed the site of various systemic disease manifestations due to multiple factors. Firstly, the rapid cellular turnover in the oral mucosa makes it susceptible to diseases. Secondly, the constant presence of microorganisms in the oral cavity contributes to the development of systemic diseases. Finally, the oral cavity being a trauma-intense environment further increases the risk of systemic manifestations. Therefore, all the provided options - rapid cellular turnover, constant attack by microorganisms, and a trauma-intense environment - play a role in making the oral cavity a site for various systemic diseases. Hence, the correct answer is 'All of the above.' Choices A, B, and C are incorrect individually as they each represent only one aspect of why the oral cavity is prone to systemic disease manifestations, whereas the correct answer encompasses all these factors.

4. What percentage of body weight as fat does a woman with a healthy body composition typically average?

• A. 5%
• B. 15%
• C. 25%
• D. 35%

Correct answer: C

Rationale: A healthy body fat percentage for women typically ranges between 21% and 33%, with 25% being an average healthy body fat percentage. Choice A (5%) is too low for a healthy body fat percentage and is more in line with essential body fat levels. Choice B (15%) is also lower than the typical range for a healthy body fat percentage. Choice D (35%) is too high and would be considered high body fat for women.

5. Individuals who use antiretroviral drugs frequently develop insulin resistance and _____.

• A. hypertension
• B. hypothyroidism
• C. hyperlipidemia
• D. fluid retention

Correct answer: C

Rationale: The correct answer is C: hyperlipidemia. Antiretroviral drugs can often lead to elevated lipid levels (hyperlipidemia), which is a common side effect of this therapy. This increase in lipids can contribute to cardiovascular risk. Hypertension (choice A) is not typically associated with antiretroviral drug use. Hypothyroidism (choice B) and fluid retention (choice D) are also not commonly linked to antiretroviral therapy.

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