Nursing Elites

1. The two members of the health care team who work closely to monitor drug-nutrient interactions are the:

• A. physician and nurse
• B. physician and pharmacist
• C. nurse and clinical dietitian
• D. clinical dietitian and pharmacist

Correct answer: D

Rationale: The correct answer is D: clinical dietitian and pharmacist. Clinical dietitians and pharmacists work closely together to monitor and manage drug-nutrient interactions. While physicians and nurses play essential roles in patient care, they are not typically the primary professionals involved in monitoring drug-nutrient interactions. Therefore, choices A, B, and C are incorrect.

2. When observing a return demonstration of a colostomy irrigation, you know that more teaching is required if pt:

• A. Lubricates the tip of the catheter prior to inserting into the stoma
• B. Hangs the irrigating bag on the bathroom door cloth hook during fluid insertion
• C. Discontinues the insertion of fluid after only 500 ml of fluid has been instilled
• D. Clamps of the flow of fluid when felling uncomfortable

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.

3. A client who is in her second trimester of pregnancy should increase her caloric intake by how many calories during this trimester?

• A. 110 cal/day
• B. 225 cal/day
• C. 340 cal/day
• D. 450 cal/day

Correct answer: C

Rationale: During the second trimester of pregnancy, it is recommended that a client increases their caloric intake by around 340 calories per day to support the growing needs of both the mother and the developing fetus. This additional intake helps ensure the proper nutrition and energy levels required during this crucial stage of pregnancy. Option A (110 cal/day) is too low to meet the increased demands. Option B (225 cal/day) is also below the recommended amount. Option D (450 cal/day) is higher than necessary and could lead to excessive weight gain, which is not ideal during pregnancy.

4. Earliest sign of skin reaction to radiation therapy is:

• A. desquamation
• B. erythema
• C. atrophy
• D. pigmentation

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.

5. The most energy-rich nutrient is:

• A. carb
• B. fat
• C. protein
• D. water

Correct answer: B

Rationale: Fat provides 9 kcal per gram, making it the most energy-rich nutrient compared to carbohydrates and proteins, which provide 4 kcal per gram.

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