Nursing Elites

1. Wernicke-Korsakoff syndrome is associated with which vitamin deficiency?

• A. Thiamine (B1)
• B. Riboflavin (B2)
• C. Niacin (B3)
• D. Pyridoxine (B6)

Correct answer: A

Rationale: Wernicke-Korsakoff syndrome is indeed associated with thiamine (vitamin B1) deficiency. This syndrome is commonly seen in individuals with chronic alcoholism due to poor diet and impaired thiamine absorption. Thiamine is essential for normal brain function and energy metabolism. Riboflavin (B2) deficiency can lead to symptoms like sore throat and swollen mucous membranes, not Wernicke-Korsakoff syndrome. Niacin (B3) deficiency causes pellagra, characterized by dermatitis, diarrhea, dementia, and death, but not Wernicke-Korsakoff syndrome. Pyridoxine (B6) deficiency can result in dermatitis, glossitis, and peripheral neuropathy, but it is not associated with Wernicke-Korsakoff syndrome.

2. The most important quality of a nurse during a Nurse-Patient interaction is:

• A. Understanding
• B. Acceptance
• C. Listening
• D. Teaching

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

3. Each of the following foods has cariostatic properties, with one exception. Which food is the exception?

• A. Eggs
• B. Instant oatmeal
• C. Cheese
• D. Seafood

Correct answer: B

Rationale: Cariostatic foods are those that contribute to the prevention of tooth decay. Eggs, cheese, and seafood are all cariostatic foods, as they can aid in protecting against tooth decay. On the contrary, instant oatmeal does not possess these cariostatic properties. Due to its processed nature, it is more fermentable and cariogenic, which means it can encourage cavity formation. Although it is not directly harmful to the teeth, it does not provide the same defensive benefits against tooth decay as the other choices do. Therefore, 'Instant oatmeal' is the exception among these foods and is the correct answer.

4. A client with cholecystitis is being taught about required dietary modifications. Which of the following foods is appropriate for the client's diet?

• A. Creamed chicken
• B. Roast turkey
• C. Ice cream
• D. Macaroni and cheese

Correct answer: B

Rationale: Roast turkey is the most appropriate choice for a client with cholecystitis. Foods that are high in fat content, like creamed chicken, ice cream, and macaroni and cheese, should be avoided in cholecystitis as they can exacerbate symptoms due to the reduced ability of the gallbladder to process fats. Roast turkey is a leaner option that is better tolerated by individuals with cholecystitis.

5. What is the name of the record that shows all medications and treatments provided on a repeated basis?

• A. Nursing Health History and Assessment Worksheet
• B. Discharge Summary
• C. Nursing Kardex
• D. Medicine and Treatment Record

Correct answer: D

Rationale: The 'Medicine and Treatment Record' is the document that maintains a comprehensive log of all medications and treatments provided on a routine basis. It does not refer to the 'Discharge Summary', which is a clinical report prepared by healthcare professionals at the end of a hospital stay or series of treatments. The 'Nursing Health History and Assessment Worksheet' is used to gather comprehensive data about the patient's health history and current health status, but it does not record ongoing treatment details. The 'Nursing Kardex' is a patient care information system used to quickly communicate patient needs, but it does not consistently record all medications and treatments provided.

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