Nursing Elites

1. Water loss can occur from each, except one. Which is the exception?

• A. Respiratory inflammation
• B. Strenuous exercise
• C. Diarrhea
• D. Perspiration

Correct answer: D

Rationale: The correct answer is D, Perspiration. Water loss can occur through respiration inflammation, strenuous exercise, and diarrhea. Perspiration, also known as sweating, is a mechanism by which the body regulates temperature and eliminates some waste products, but it is not a cause of water loss. The body loses water through sweating, but this loss is mainly for cooling purposes, and it is not a primary mechanism for water loss like respiration, exercise, or diarrhea.

2. A client with a large lower-leg ulcer needs protein for wound healing. Which of the following foods should the nurse suggest?

• A. Kidney beans
• B. Grilled salmon
• C. Peanut butter
• D. Raw spinach

Correct answer: B

Rationale: Grilled salmon is the best choice for providing high-quality protein for wound healing. Salmon is rich in essential amino acids, omega-3 fatty acids, and vitamin D, which can help promote tissue repair and reduce inflammation. Kidney beans, peanut butter, and raw spinach are good protein sources but do not offer the same level of high-quality protein and nutrients needed specifically for wound healing.

3. Which of the following is NOT required on a food label or nutrition facts panel?

• A. Nutrition facts panel
• B. Ingredients in descending order by weight
• C. The % RDA of ALL the vitamins and minerals in the product
• D. Essential warnings, such as common allergies

Correct answer: C

Rationale: According to food labeling regulations, every food label or nutrition facts panel must include a nutrition facts panel, list of ingredients in descending order by weight, and essential warnings such as common allergies. However, it is not mandatory to list the % Recommended Daily Allowance (RDA) of ALL the vitamins and minerals in the product. Only certain vitamins and minerals, deemed significant to public health, are required to be listed. Therefore, the notion that the % RDA of ALL vitamins and minerals must be displayed is incorrect. Choices A, B, and D are required elements on a food label, making them incorrect answers.

4. Digestible carbs are absorbed as ___ through the small intestinal wall and are delivered to the liver, which releases ___ into the bloodstream.

• A. glucose
• B. monosaccharides
• C. galactose
• D. disaccharides

Correct answer: B

Rationale: Digestible carbohydrates are absorbed as monosaccharides (simple sugars) like glucose, which the liver can release into the bloodstream for energy.

5. What is a major feature of the therapeutic lifestyle changes (TLC) recommended for the treatment of high blood cholesterol?

• A. Avoiding all foods that contain cholesterol
• B. Reducing sodium intake to less than 2 g/day
• C. Limiting total fat intake to less than 30% of energy intake
• D. Limiting saturated fat intake to less than 7% of energy intake

Correct answer: D

Rationale: The correct answer is D, 'Limiting saturated fat intake to less than 7% of energy intake.' This is a central feature of the therapeutic lifestyle changes (TLC) recommended for treating high blood cholesterol. Saturated fats can increase low-density lipoprotein (LDL) cholesterol, a significant risk factor for heart disease. Choice A is incorrect because while it is recommended to limit cholesterol intake, it's not suggested to avoid all foods containing cholesterol entirely in the TLC. Choice B is also incorrect as although reducing sodium intake is beneficial for controlling blood pressure, it's not specifically targeted in the TLC for managing high cholesterol. Lastly, while limiting total fat intake is a healthy guideline, it's not as specific or effective as limiting saturated fat intake, making choice C also incorrect.

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