Nursing Elites

1. What is the primary purpose of dietary fiber in the diet?

• A. Improving digestion
• B. Providing energy
• C. Aiding in the absorption of vitamins
• D. Reducing cholesterol

Correct answer: D

Rationale: The primary purpose of dietary fiber in the diet is to reduce cholesterol levels. While it does aid in digestion by promoting regular bowel movements, its main role is in lowering cholesterol. Choice A is partially correct but not the primary purpose. Choice B is incorrect as fiber is not a direct source of energy. Choice C is also incorrect as the primary role of fiber is not in the absorption of vitamins.

2. A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching?

• A. Increase phosphorus intake
• B. Limit calcium intake
• C. Limit protein intake
• D. Increase potassium intake

Correct answer: C

Rationale: The correct recommendation for a client with chronic kidney disease is to limit protein intake. Excessive protein consumption can strain the kidneys as they work to eliminate waste products from protein metabolism. This can worsen kidney function in individuals with chronic kidney disease. Therefore, limiting protein intake is crucial in managing this condition. Choices A, B, and D are incorrect. Increasing phosphorus intake can be harmful in kidney disease as it can lead to mineral imbalances. Limiting calcium intake is not typically necessary unless the client has specific complications. Increasing potassium intake may also be inappropriate as potassium levels can be affected in kidney disease.

3. Which term is used to describe medical practices that have been thoroughly evaluated using scientific methods?

• A. Meta-analysis
• B. Systematic reviews
• C. Evidence-based
• D. Observational studies

Correct answer: C

Rationale: The correct answer is C, 'Evidence-based.' Evidence-based practices refer to medical practices that have been thoroughly evaluated and supported by scientific research. Meta-analysis (A) involves statistical analysis that combines the results of multiple studies. Systematic reviews (B) are comprehensive reviews that synthesize evidence from multiple studies. Observational studies (D) are research methods where researchers observe subjects in their natural environment.

4. A nurse is caring for a client following an appendectomy. The nurse verifies the postoperative prescription which reads, 'Discontinue NPO status; advance diet as tolerated.' Which of the following are appropriate for the nurse to offer the client? (SATA)

• A. Wheat toast
• B. Applesauce
• C. Applesauce, Chicken broth
• D. Chicken broth

Correct answer: C

Rationale: The correct answer is C: Applesauce and chicken broth. After an appendectomy, patients are typically started on a clear liquid diet before advancing to more solid foods. Applesauce and chicken broth are part of a low-residue diet that is easily digestible and gentle on the digestive system, making them suitable choices for a client following surgery. Wheat toast may be too heavy and fibrous initially, while other solid foods should be introduced gradually to prevent gastrointestinal upset.

5. Nutrition therapy for clients with diabetes is based on:

• A. low dietary intake of sugars
• B. standardized diabetic diet plans
• C. each client’s lifestyle and preferences
• D. the client’s weight and blood glucose level

Correct answer: C

Rationale: Corrected Rationale: Nutrition therapy for clients with diabetes should be individualized to each client's lifestyle, preferences, and needs. This approach ensures that the dietary plan is sustainable and tailored to the client, leading to better adherence and improved health outcomes. Choices A and B are too general and do not account for individual differences among clients. Choice D, focusing solely on weight and blood glucose levels, overlooks other crucial aspects of a client's overall well-being and dietary requirements in diabetes management.

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