Nursing Elites

1. When administering Tapazole, The nurse should monitor the client for which of the following adverse effect?

• A. Hyperthyroidism
• B. Hypothyroidism
• C. Drowsiness
• D. Seizure

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.

2. Which student lunch is the least nutritious?

• A. Ham sandwich, apple, and milk
• B. Hamburger, fries, and soft drink
• C. Macaroni and cheese, green beans, and peaches
• D. Meatloaf, broccoli, and pear slices

Correct answer: B

Rationale: The correct answer is B - 'Hamburger, fries, and soft drink' as it contains foods high in unhealthy fats, sugars, and low nutritional value. A hamburger, fries, and a soft drink are considered less nutritious compared to the other options. Choice A includes a ham sandwich, apple, and milk, which provide a balance of protein, fiber, and calcium. Choice C consists of macaroni and cheese, green beans, and peaches, offering a mix of carbohydrates, vegetables, and fruits. Choice D contains meatloaf, broccoli, and pear slices, which provide a good source of protein, vitamins, and fiber. Therefore, option B is the least nutritious among the given choices.

3. What can be a potential consequence of consuming insufficient fat?

• A. constipation
• B. marasmus
• C. infertility
• D. diverticulitis

Correct answer: C

Rationale: The correct answer is C. Fat is crucial for the production of hormones, including reproductive hormones. Consuming too little fat can lead to hormonal imbalances, affecting fertility. Choices A, B, and D are incorrect. Constipation is more commonly associated with insufficient fiber intake, marasmus is severe malnutrition due to overall calorie deficiency, and diverticulitis is often related to low fiber intake and not specifically low fat consumption.

4. Nutrients that may help decrease high blood pressure levels include:

• A. magnesium and sodium
• B. protein and monounsaturated fat
• C. calcium and potassium
• D. dietary fiber and plant sterols

Correct answer: C

Rationale: Calcium and potassium play vital roles in regulating blood pressure, with potassium helping to balance the negative effects of sodium.

5. A client has a small-bore jejunostomy and is receiving a continuous tube feeding with a high-viscosity formula. Which of the following actions should the nurse take to prevent the tubing from clogging?

• A. Replace the bag and tubing every 24 hours
• B. Flush the tubing with 10 mL water every 6 hours
• C. Administer the feeding by gravity drip
• D. Heat the formula prior to infusion

Correct answer: B

Rationale: To prevent clogging when using high-viscosity formulas in a small-bore jejunostomy, the nurse should flush the tubing with 10 mL of water every 6 hours. This action helps maintain tube patency and prevent blockages. Replacing the bag and tubing every 24 hours (Choice A) is unnecessary and does not specifically address preventing clogging. Administering the feeding by gravity drip (Choice C) or heating the formula prior to infusion (Choice D) are not effective interventions for preventing tubing clogging.

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