People who use monoamine oxidase inhibitors for the treatment of depression need to avoid foods high in:
- A. Folate
- B. Tyramine
- C. Potassium
- D. Vitamin K
Correct Answer: B
Rationale: The correct answer is B: Tyramine. When individuals taking monoamine oxidase inhibitors (MAOIs) consume foods high in tyramine, it can lead to a potentially dangerous increase in blood pressure known as a hypertensive crisis. Foods high in tyramine include aged cheeses, cured meats, and certain fermented foods. Choices A, C, and D are incorrect. Folate, potassium, and vitamin K are not typically contraindicated with the use of MAOIs.
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The Army Medical Department has four major functions. Three are prevention, treatment, and evacuation. What is the fourth?
- A. Preparation
- B. Training
- C. Mobilization
- D. Selection
Correct Answer: C
Rationale: The correct answer is C, 'Mobilization.' Mobilization is the fourth major function of the Army Medical Department. This involves preparing and organizing medical resources and personnel for deployment during military operations. Choices A, B, and D are incorrect because while they are important aspects in military healthcare, they do not represent the fourth major function of the Army Medical Department as specifically requested in the question.
The nurse is teaching basic cardiopulmonary resuscitation (CPR) to individuals in the community. What is the correct order of basic CPR steps?
- A. Ensure the scene is safe, assess responsiveness, call for help, begin chest compressions, give two rescue breaths
- B. Give two rescue breaths
- C. Look, listen, and feel for breathing
- D. Begin chest compressions
Correct Answer: A
Rationale: The correct order of basic CPR steps is as follows: first, ensure the scene is safe to approach, then assess the individual's responsiveness. After confirming the need for help, start chest compressions, then provide two rescue breaths. Option B, 'Give two rescue breaths,' is incorrect as chest compressions should be initiated before giving rescue breaths. Option C, 'Look, listen, and feel for breathing,' is also incorrect as immediate chest compressions are crucial in CPR. Option D, 'Begin chest compressions,' is partially correct but misses the crucial initial steps of ensuring scene safety and assessing responsiveness.
The two members of the health care team who work closely to monitor drug-nutrient interactions are:
- A. Physician and nurse
- B. Physician and pharmacist
- C. Nurse and clinical dietitian
- D. Clinical dietitian and pharmacist
Correct Answer: D
Rationale: Clinical dietitians and pharmacists work together to manage drug-nutrient interactions. They have the expertise to understand how medications and nutrients can interact in the body, potentially affecting the effectiveness of treatment. Physicians and nurses may be involved in patient care, but when it comes to monitoring drug-nutrient interactions, the specialized knowledge of clinical dietitians and pharmacists is crucial. Nurses and physicians typically focus more on administering medications and managing overall patient care, rather than the specific interactions between drugs and nutrients.
The client has recently been diagnosed with irritable bowel syndrome (IBS). Which intervention should the nurse teach the client to reduce symptoms?
- A. Instruct the client to avoid drinking fluids with meals
- B. Explain the need to decrease intake of flatus-forming foods
- C. Teach the client how to perform gentle perianal care
- D. Encourage the client to see a psychologist
Correct Answer: B
Rationale: Choosing option B, explaining the need to decrease intake of flatus-forming foods, is the correct intervention to reduce IBS symptoms. Flatus-forming foods can worsen bloating and discomfort in individuals with IBS. Option A, instructing the client to avoid drinking fluids with meals, may be helpful for other conditions but is not a primary intervention for IBS. Option C, teaching perianal care, is not directly related to reducing IBS symptoms. Option D, encouraging the client to see a psychologist, may be beneficial for managing stress related to IBS but is not the initial intervention to reduce symptoms.
Which of the following nursing interventions is important for a client scheduled to have a Guaiac Test?
- A. Avoid turnips, radish, and horseradish 3 days before
- B. Continue iron preparation to prevent further loss of iron
- C. Do not consume red meat 12 hours before the procedure
- D. Encourage consumption of dark-colored foods with caffeine
Correct Answer: A
Rationale: The correct answer is A. Turnips, radish, and horseradish are known to cause false-positive results in a Guaiac Test, which is used to detect blood in the stool. Avoiding these foods is crucial to ensure accurate test results. Choice B is incorrect because iron preparations can interfere with the test results. Choice C is incorrect as red meat does not impact the Guaiac Test significantly. Choice D is incorrect as caffeine and dark-colored foods are not relevant to the preparation for a Guaiac Test.
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