Nokea
A community center is having a health fair. Which of the following main food courses should the nurse recommend as most healthful for a 20-year-old adult whose total cholesterol level is 300 mg/dL?
- A. fettuccine alfredo
- B. fried chicken
- C. grilled cheese sandwich with bacon
- D. natural peanut butter and banana sandwich on whole wheat bread
Correct Answer: D
Rationale: The peanut butter and banana sandwich on whole wheat bread is lower in saturated fats and healthier for managing high cholesterol.
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Which selection would provide the most calcium for the client who is 4 months pregnant?
- A. A granola bar
- B. A bran muffin
- C. A cup of yogurt
- D. A glass of fruit juice
Correct Answer: C
Rationale: Yogurt is a rich source of calcium, essential for fetal bone development during pregnancy.
The nurse is admitting a client with a diagnosis of severe malignant catatonia to the in-patient psychiatric unit. Under which condition would the nurse support the use of electroconvulsive therapy (ECT) as a first-line treatment?
- A. The client is in the first trimester of pregnancy.
- B. The client is gainfully employed.
- C. The client lives in an assisted living facility.
- D. The client is over 50 years of age.
Correct Answer: C
Rationale: ECT may be considered first-line for severe malignant catatonia in a controlled setting like an assisted living facility, where monitoring is feasible. Pregnancy and age are contraindications or require caution, and employment is irrelevant.
When assisting a client with range-of-motion exercises, which movements should be carried out on the client's elbows? Select all that apply.
- A. Supination.
- B. Flexion.
- C. Circumduction
- D. Pronation
- E. Extension.
- F. Hyperextension.
Correct Answer: A,B,D,E
Rationale: Elbow range-of-motion includes flexion (B), extension (E), supination (A), and pronation (D). Circumduction (C) is not possible at the elbow, and hyperextension (F) is not a standard motion for this joint.
The physician has ordered atropine sulfate 0.4 mg IM before surgery. The medication is supplied in 0.8 mg per milliliter. The nurse should administer how many milliliters of the medication?
- A. 0.25 mL
- B. 0.5 mL
- C. 1.0 mL
- D. 1.25 mL
Correct Answer: B
Rationale: To calculate: 0.4 mg ÷ 0.8 mg/mL = 0.5 mL, the correct dose to administer.
The nurse is evaluating the intake and output of a client for the first 12 hours following an abdominal cholecystectomy. Which finding should be reported to the physician?
- A. Output of 10 mL from the Jackson-Pratt drain
- B. Foley catheter output of 285 mL
- C. Nasogastric tube output of 150 mL
- D. Absence of stool
Correct Answer: D
Rationale: Absence of stool post-cholecystectomy may indicate a complication like ileus or obstruction, requiring physician evaluation.