Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is counseling a client diagnosed with bulimia nervosa about the symptom of tooth enamel deterioration.
Which explanation for this complication of bulimia nervosa should the nurse provide?
A. Food is rapidly ingested without proper mastication.
Choice A, Food is rapidly ingested without proper mastication, is incorrect because it does not directly relate to tooth enamel deterioration.
B. The emesis produced during purging is acidic and corrodes the tooth enamel.
When people with bulimia nervosa frequently engage in self-induced vomiting, the gastric acids in their vomit can damage the tooth enamel. This is called dental erosion and can create “bulimia teeth”.
C. Poor dental and oral hygiene leads to dental caries.
Choice C, Poor dental and oral hygiene leads to dental caries, is incorrect because it refers to a different dental issue.
D. Purging causes the depletion of dietary calcium.
Choice D, Purging causes the depletion of dietary calcium, is incorrect because it does not directly relate to tooth enamel deterioration.
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Full Explanation
When people with bulimia nervosa frequently engage in self-induced vomiting, the gastric acids in their vomit can damage the tooth enamel.
This is called dental erosion and can create “bulimia teeth”.
Choice A, Food is rapidly ingested without proper mastication, is incorrect because it does not directly relate to tooth enamel deterioration.
Choice C, Poor dental and oral hygiene leads to dental caries, is incorrect because it refers to a different dental issue.
Choice D, Purging causes the depletion of dietary calcium, is incorrect because it does not directly relate to tooth enamel deterioration.
Similar Questions
A nurse is assisting with teaching a class about the long-term effects of childhood obesity.
The nurse should include which of the following conditions is a potential complication of childhood obesity?
A. Diabetes mellitus.
Childhood obesity is a serious medical condition that can lead to health problems that were once considered adult problems, such as diabetes, high blood pressure, and high cholesterol.
B. Hypotension.
Choice B, Hypotension, is incorrect because it refers to low blood pressure, which is not a common complication of childhood obesity.
C. Rheumatoid arthritis.
Choice C, Rheumatoid arthritis, is incorrect because it is an autoimmune disorder that is not directly related to childhood obesity.
D. Attention-deficit/hyperactivity disorder.
Choice D, Attention-deficit/hyperactivity disorder (ADHD), is incorrect because it is a neurodevelopmental disorder that is not directly related to childhood obesity.
Full Explanation
Childhood obesity is a serious medical condition that can lead to health problems that were once considered adult problems, such as diabetes, high blood pressure, and high cholesterol.
Choice B, Hypotension, is incorrect because it refers to low blood pressure, which is not a common complication of childhood obesity.
Choice C, Rheumatoid arthritis, is incorrect because it is an autoimmune disorder that is not directly related to childhood obesity.
Choice D, Attention-deficit/hyperactivity disorder (ADHD), is incorrect because it is a neurodevelopmental disorder that is not directly related to childhood obesity.
A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant.
Which of the following manifestations should the nurse include in the teaching?
A. Supine hypotension.
Choice A, Supine hypotension, is incorrect because it refers to a condition that can occur later in pregnancy when a woman lies on her back and the weight of the uterus compresses major blood vessels.
B. Heartburn.
Choice B, Heartburn, is incorrect because it is more commonly experienced later in pregnancy.
C. Constipation.
Choice C, Constipation, is incorrect because it is more commonly experienced later in pregnancy.
D. Urinary frequency.
During the first trimester of pregnancy, many women experience increased urination. The amount of blood in your body increases during pregnancy, causing your kidneys to process extra fluid that ends up in your bladder.
Full Explanation
During the first trimester of pregnancy, many women experience increased urination.
The amount of blood in your body increases during pregnancy, causing your kidneys to process extra fluid that ends up in your bladder.
Choice A, Supine hypotension, is incorrect because it refers to a condition that can occur later in pregnancy when a woman lies on her back and the weight of the uterus compresses major blood vessels.
Choice B, Heartburn, is incorrect because it is more commonly experienced later in pregnancy.
Choice C, Constipation, is incorrect because it is more commonly experienced later in pregnancy.
A client in her first trimester is concerned about how weight gain will affect her appearance and questions the nurse concerning dietary restrictions.
How much weight gain should the nurse point out will be safe for this client with a low BMI?
A. 15 to 25 pounds (7 to 11 kilograms).
Choice A, 15 to 25 pounds (7 to 11 kilograms), is incorrect because it is the recommended weight gain for women who are overweight before pregnancy.
B. 28 to 40 pounds (13 to 18 kilograms).
28 to 40 pounds (13 to 18 kilograms). Women with a low BMI (under 18.5) should gain between 28 to 40 pounds (13 to 18 kilograms) throughout their pregnancy.
C. 16 to 30 pounds (7.25 to 14 kilograms).
Choice C, 16 to 30 pounds (7.25 to 14 kilograms), is incorrect because it does not fall within the recommended weight gain range for women with a low BMI.
D. 25 to 35 pounds (11 to 16 kilograms).
Choice D, 25 to 35 pounds (11 to 16 kilograms), is incorrect because it is the recommended weight gain for women who are at a healthy weight before pregnancy.
Full Explanation
28 to 40 pounds (13 to 18 kilograms).
Women with a low BMI (under 18.5) should gain between 28 to 40 pounds (13 to 18 kilograms) throughout their pregnancy.
Choice A, 15 to 25 pounds (7 to 11 kilograms), is incorrect because it is the recommended weight gain for women who are overweight before pregnancy.
Choice C, 16 to 30 pounds (7.25 to 14 kilograms), is incorrect because it does not fall within the recommended weight gain range for women with a low BMI.
Choice D, 25 to 35 pounds (11 to 16 kilograms), is incorrect because it is the recommended weight gain for women who are at a healthy weight before pregnancy.