Nursing Elites

1. What dietary strategy would most likely be used as part of lifestyle management to reduce the risk of coronary heart disease?

• A. Avoid foods that contain polyunsaturated fat
• B. Limit saturated fat to less than 10 percent of total calories
• C. Limit alcohol intake to one drink daily for women and two drinks daily for men
• D. Avoid consumption of fish and shellfish

Correct answer: C

Rationale: Limiting alcohol intake is part of a strategy to reduce the risk of coronary heart disease by avoiding the negative cardiovascular effects associated with excessive alcohol consumption.

2. A client with gastroesophageal reflux disease is being taught by a nurse about managing the illness. Which of the following recommendations should the nurse include in the teaching?

• A. Limit fluid intake not related to meals.
• B. Chew on mint leaves to relieve indigestion.
• C. Avoid eating within 3 hours of bedtime.
• D. Season foods with black pepper.

Correct answer: C

Rationale: The correct recommendation for managing gastroesophageal reflux disease is to avoid eating within 3 hours of bedtime. This helps prevent acid reflux by allowing food to digest before lying down. Choices A, B, and D are incorrect. Limiting fluid intake not related to meals is not a standard recommendation for managing GERD. Chewing on mint leaves may worsen symptoms as mint can relax the lower esophageal sphincter, allowing stomach acid to flow back up. Seasoning foods with black pepper does not specifically help manage GERD.

3. What effect does the use of a hot compress have, as explained to Ronnie who has been prescribed pain medication?

• A. It produces an anesthetic effect
• B. It increases nutrition in the blood to promote wound healing
• C. It increases oxygenation to the injured tissues for better healing
• D. It induces vasoconstriction to prevent infection

Correct answer: A

Rationale: The correct answer is A: 'It produces an anesthetic effect.' Hot compresses can help alleviate pain by producing an anesthetic effect, which numbs the area. Choice B is incorrect because a hot compress does not directly increase nutrition in the blood to promote wound healing. Choice C is also incorrect because a hot compress primarily aids in pain relief rather than increasing oxygenation to the tissues for enhanced healing. Choice D is incorrect because hot compresses typically lead to vasodilation, not vasoconstriction, which aids in promoting blood flow rather than preventing infection. Safe and effective patient care relies on actions based on established nursing protocols that consider both the immediate and long-term needs of the patient.

4. This flip-over card is usually kept in a portable file at the Nurse’s Station. It has 2-parts: the activity and treatment section and a nursing care plan section. This carries information about basic demographic data, primary medical diagnosis, current orders of the physician to be carried out by the nurse, written nursing care plan, nursing orders, scheduled tests and procedures, safety precautions in patient care and factors related to daily living activities. This record is used in the charge-of-shift reports or during the bedside rounds or walking rounds. What record is this?

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

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.

5. Sugar alcohols have anticariogenic properties and can protect the teeth by decreasing demineralization, enhancing remineralization, or increasing salivary flow, even in the presence of a fermentable carbohydrate. Name 3 sugar alcohols.

• A. Sorbitol
• B. Mannitol
• C. Xylitol
• D. Erythritol

Correct answer: D

Rationale: Sugar alcohols such as sorbitol, mannitol, and xylitol are commonly used in sugar-free products and have properties that help protect teeth from caries by promoting remineralization and increasing salivary flow. Erythritol is another common sugar alcohol used as a sweetener in various products, but it was not listed in the question.

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