Nursing Elites

1. Why is bleeding in the leg of a pregnant woman considered as an emergency?

• A. Blood volume is greater in pregnant woman; therefore, blood loss is increased
• B. There is an increase blood pressure during pregnancy increasing the likelihood of hemorrhage
• C. Pregnant woman are anemic, all forms of blood loss should be considered as an emergency especially if it is in the
• D. The pressure of the gravid uterus will exert additional force thus, increasing the blood loss in the lower extremities

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

2. In order to establish and maintain successful breastfeeding, which practice should a lactating mother try to follow?

• A. Initiate breastfeeding within 24 hours of birth
• B. Breastfeed on a schedule of every 2 to 3 hours
• C. Give a pacifier to an infant between feedings
• D. Find a breastfeeding support group to troubleshoot problems

Correct answer: D

Rationale: The correct answer is D. Finding a breastfeeding support group is crucial for a lactating mother to establish and maintain successful breastfeeding. This group can offer valuable advice, tips, and encouragement, helping the mother troubleshoot any issues that may arise during breastfeeding. Choices A, B, and C are incorrect because breastfeeding is a natural process that should not be overly scheduled, and giving a pacifier between feedings can interfere with establishing proper breastfeeding techniques.

3. Which food item interferes with the effectiveness of warfarin?

• A. Cauliflower
• B. Zucchini
• C. Green beans
• D. Broccoli

Correct answer: D

Rationale: Broccoli is high in vitamin K, which can affect the effectiveness of warfarin. Warfarin is an anticoagulant medication that functions by reducing the activity of vitamin K in the body. When one consumes broccoli, which is rich in vitamin K, it could counteract the anticoagulant effect of warfarin, thereby interfering with its effectiveness. On the other hand, cauliflower, zucchini, and green beans do not have significant levels of vitamin K and hence, are not known to impact the effectiveness of warfarin.

4. A nurse provides discharge instructions to a client about the food items that interact with warfarin effectiveness. Which food item indicates that the teaching was effective?

• A. Cauliflower
• B. Zucchini
• C. Green beans
• D. Broccoli

Correct answer: A

Rationale: Cauliflower is high in vitamin K, which can interact with warfarin.

5. he can be expected to:

• A. Profit from vocational training with moderate supervision
• B. Live successfully in the community
• C. Perform simple tasks in closely supervised settings
• D. Acquire academic skills of 6th grade level

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

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