Nursing Elites

1. What laboratory value would be considered a high-risk measure for coronary heart disease assessment?

• A. triglycerides > 150 mg/dL
• B. BMI > 31
• C. LDL cholesterol < 128 mg/dL
• D. blood pressure of 128/82 mmHg

Correct answer: B

Rationale: The correct answer is B: BMI > 31. A BMI over 31 is considered a high-risk factor for coronary heart disease as it indicates obesity, which is strongly linked to cardiovascular issues. Triglycerides > 150 mg/dL (choice A) can contribute to heart disease risk but are not as specific as BMI in assessing overall risk. LDL cholesterol < 128 mg/dL (choice C) is actually a desirable level, indicating lower risk. A blood pressure of 128/82 mmHg (choice D) is within normal range and not a high-risk measure specifically for coronary heart disease.

2. Which type of drug is most likely to cause unintentional weight gain?

• A. Antiemetics
• B. Sedatives
• C. Corticosteroids
• D. Antibiotics

Correct answer: C

Rationale: Corticosteroids are most likely to cause unintentional weight gain. They influence the metabolism and fat distribution in the body, leading to weight gain. On the other hand, antiemetics are drugs that are used to prevent nausea and vomiting, and they do not typically cause weight gain. Sedatives, while they can cause drowsiness and may lead to less physical activity, are not directly associated with weight gain. Lastly, antibiotics are used to fight bacteria and while they can cause temporary digestive issues, they do not typically result in long-term weight gain.

3. During the later stages of chronic kidney disease, what is the recommended protein intake in grams per kilogram of body weight per day?

• A. 0.6 to 0.75
• B. 1.2 to 1.55
• C. 1.0 to 1.2
• D. 0.8 to 1.0

Correct answer: A

Rationale: In the later stages of chronic kidney disease, the recommended protein intake is typically restricted to 0.6 to 0.75 grams per kilogram of body weight per day. This lower protein intake helps reduce the workload on the kidneys, as excessive protein can be challenging for the kidneys to process. Choice B (1.2 to 1.55) is incorrect as it suggests a higher protein intake, which is not recommended for individuals with advanced kidney disease. Choices C (1.0 to 1.2) and D (0.8 to 1.0) also advocate for protein intakes higher than what is typically advised for individuals in later stages of chronic kidney disease.

4. What is the movement of water from an area of lower solute concentration to one of higher solute concentration called?

• A. Hypodipsia
• B. Hypernatremia
• C. Hypokalemia
• D. Osmosis

Correct answer: D

Rationale: The correct answer is D, Osmosis. Osmosis is the process where water moves from an area of low solute concentration to an area of high solute concentration. This movement equalizes the solute concentration in intracellular and extracellular fluids. Choices A, B, and C are incorrect because they do not describe the movement of water based on solute concentration levels.

5. A nurse is providing dietary teaching for a client who has a burn injury and adheres to a vegan diet. The nurse should recommend which of the following foods as the best source of protein to promote wound healing?

• A. One cup of brown rice
• B. One cup of orange juice
• C. One cup of pureed avocado
• D. One cup of lentils

Correct answer: D

Rationale: Lentils are an excellent source of plant-based protein, essential for wound healing in a vegan diet. Brown rice, orange juice, and pureed avocado are not protein-rich foods like lentils and would not provide sufficient protein for wound healing in this scenario.

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