Nursing Elites

1. Which of the following categories identifies the focus of community/public health nursing practice?

• A. Promoting and maintaining the health of populations and preventing and minimizing the progress of disease
• B. Rehabilitation and restorative services
• C. Adaptation of hospital care to the home environment
• D. Hospice care delivery

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. What is the initial major sign of acute renal failure?

• A. Oliguria
• B. Hematuria
• C. Proteinuria
• D. Glycosuria

Correct answer: A

Rationale: Oliguria, or reduced urine output, is often the initial major sign of acute renal failure. This reduction in urine output indicates that the kidneys are not functioning properly. Hematuria (blood in urine), proteinuria (presence of protein in urine), and glycosuria (presence of glucose in urine) are not typically the initial major signs of acute renal failure. While they may be present in certain conditions, oliguria is the most common and critical indicator of acute renal failure.

3. Which food is recommended for someone with lactose intolerance?

• A. Skim milk
• B. Cheese
• C. Lactose-free yogurt
• D. Whole milk

Correct answer: C

Rationale: Lactose-free yogurt is suitable for individuals with lactose intolerance as it has reduced lactose content.

4. What is a major feature of the therapeutic lifestyle changes (TLC) recommended for the treatment of high blood cholesterol?

• A. Avoiding all foods that contain cholesterol
• B. Reducing sodium intake to less than 2 g/day
• C. Limiting total fat intake to less than 30% of energy intake
• D. Limiting saturated fat intake to less than 7% of energy intake

Correct answer: D

Rationale: The correct answer is D, 'Limiting saturated fat intake to less than 7% of energy intake.' This is a central feature of the therapeutic lifestyle changes (TLC) recommended for treating high blood cholesterol. Saturated fats can increase low-density lipoprotein (LDL) cholesterol, a significant risk factor for heart disease. Choice A is incorrect because while it is recommended to limit cholesterol intake, it's not suggested to avoid all foods containing cholesterol entirely in the TLC. Choice B is also incorrect as although reducing sodium intake is beneficial for controlling blood pressure, it's not specifically targeted in the TLC for managing high cholesterol. Lastly, while limiting total fat intake is a healthy guideline, it's not as specific or effective as limiting saturated fat intake, making choice C also incorrect.

5. Which food should the nurse recommend for a client deficient in vitamin A?

• A. Orange slices
• B. Steamed carrots
• C. Apple sauce
• D. Baked potato

Correct answer: B

Rationale: The correct answer is B, steamed carrots, as they are high in vitamin A. Carrots are rich in beta-carotene, a precursor to vitamin A, which is essential for good vision, a healthy immune system, and cell growth. Oranges (choice A) are a good source of vitamin C but not vitamin A. Apple sauce (choice C) and baked potato (choice D) do not provide significant amounts of vitamin A compared to steamed carrots, making them less suitable recommendations for a client deficient in this specific nutrient.

Similar Questions