Nursing Elites

1. You are teaching your clients the difference between Type I (IDDM) and Type II (NDDM) diabetes. Which of the following statements is true?

• A. Both types of diabetes mellitus clients are prone to developing ketosis.
• B. Type II (NIDDM) is more common and preventable compared to Type I (IDDM) diabetes, which is genetic.
• C. Type I (IIDM) is characterized by fasting hyperglycemia.
• D. Type II (NIDDM) is characterized by abnormal immune response.

Correct answer: D

Rationale: The correct answer is D. Type II diabetes (NIDDM) is characterized by insulin resistance and a relative lack of insulin. It is not primarily characterized by an abnormal immune response. Option A is incorrect because only Type I diabetes clients are prone to developing ketosis due to a lack of insulin. Option B is incorrect because while Type II diabetes is more common and often preventable through lifestyle changes, it is not solely genetic. Option C is incorrect because Type I diabetes, not Type II, is characterized by fasting hyperglycemia due to an absolute lack of insulin production.

2. In kidney disease, which mineral should a patient limit intake of?

• A. Calcium
• B. Magnesium
• C. Phosphorus
• D. Potassium

Correct answer: C

Rationale: In kidney disease, patients are advised to limit the intake of phosphorus. High levels of phosphorus can be problematic as the kidneys may not be able to effectively filter it out, leading to bone health issues. Calcium (Choice A) is important for bone health, but its restriction is not typically necessary in kidney disease. Magnesium (Choice B) and potassium (Choice D) restrictions may be required in certain cases of kidney disease, but phosphorus is the mineral most commonly limited due to its impact on bone health.

3. Plant stanols and sterols help to lower LDL cholesterol and are often added to which food product?

• A. margarine
• B. milk
• C. cereal
• D. yogurt

Correct answer: A

Rationale: Plant stanols and sterols are commonly added to margarine to help lower LDL cholesterol levels. Margarine acts as a vehicle for these compounds, making it easier for individuals to incorporate them into their daily diet. While milk, cereal, and yogurt are healthy food options, they are not typically enriched with plant stanols and sterols for cholesterol-lowering purposes, making them less likely candidates as the correct answer.

4. Can soluble fibers be fermented by gut bacteria?

• A. TRUE
• B. FALSE
• C.
• D.

Correct answer: A

Rationale: Soluble fibers can indeed be fermented by gut bacteria in the large intestine, leading to the production of beneficial short-chain fatty acids. This fermentation process is important for gut health and provides various health benefits. Therefore, the statement is true. Choice B is incorrect as it contradicts the known scientific fact that soluble fibers can be broken down by gut bacteria through fermentation.

5. An advance directive known as a durable power of attorney involves appointing another person called a(n) _____ to act as the decision maker in the event of the patient's incapacitation.

• A. witness
• B. primary caregiver
• C. health care agent
• D. state proxy

Correct answer: C

Rationale: The correct answer is 'health care agent.' A health care agent is appointed through a durable power of attorney to make medical decisions on behalf of a patient who becomes incapacitated. The term 'witness' (choice A) is incorrect because a witness only observes the signing of the directive and does not make decisions. 'Primary caregiver' (choice B) is also incorrect as they may provide care but are not necessarily legally empowered to make decisions. 'State proxy' (choice D) is not commonly used in the context of advance directives or health care decision making, making it an incorrect choice.

Similar Questions