Nursing Elites

1. How is gastroesophageal reflux (GER) typically treated in infants?

• A. Keeping the infant NPO
• B. Thickening the formula or breast milk with cereal
• C. Placing the infant to sleep on the side
• D. Switching the infant to cow's milk

Correct answer: B

Rationale: Thickening the formula or breast milk with cereal is a common treatment for gastroesophageal reflux (GER) in infants. By adding cereal, the feedings become heavier, making it less likely for the stomach contents to reflux. Keeping the infant NPO (nothing by mouth) is not typically necessary for GER treatment and might not be appropriate. Placing the infant to sleep on the side is not recommended due to the risk of sudden infant death syndrome (SIDS). Switching the infant to cow's milk is also not a recommended treatment for GER as it can exacerbate symptoms due to its protein content.

2. What is a primary intervention for a child with a suspected respiratory infection?

• A. Administer antiviral medications
• B. Increase fluid intake and rest
• C. Restrict all physical activity
• D. Provide high-dose vitamin supplements

Correct answer: B

Rationale: Increasing fluid intake and rest is a primary intervention for a child with a suspected respiratory infection because it helps support the body’s recovery and maintains hydration levels. Antiviral medications (Choice A) are only used for specific viral infections and are not routinely recommended for suspected respiratory infections. Restricting physical activity (Choice C) may be necessary in certain cases to prevent overexertion, but it is not a primary intervention. Providing high-dose vitamin supplements (Choice D) may support the immune system in general but is not a primary intervention for a suspected respiratory infection.

3. Your friend Carrie took a daily supplement of vitamin C and tells you that she feels a lot better. Her statement to you is best described as what?

• A. an anecdote
• B. theory
• C. interpretation
• D. conclusion

Correct answer: A

Rationale: The correct answer is A, 'an anecdote.' An anecdote is a personal account or experience, not necessarily backed by scientific evidence. In this case, Carrie's statement about feeling better after taking vitamin C is based on her personal experience and does not constitute scientific evidence or a generalizable conclusion. Choice B, 'theory,' would imply a systematic explanation based on scientific evidence, which is not the case here. Choice C, 'interpretation,' typically involves explaining or understanding something based on available information, not a personal account. Choice D, 'conclusion,' would be a general statement derived from specific information or facts, which is not applicable in this context.

4. What is a common side effect of corticosteroid therapy in children?

• A. Increased appetite
• B. Decreased blood glucose levels
• C. Inhibited growth
• D. Mood changes

Correct answer: A

Rationale: The correct answer is A: Increased appetite. Corticosteroid therapy commonly causes increased appetite in children. This side effect can lead to weight gain and other metabolic changes. Option B is incorrect because corticosteroid therapy is more likely to result in increased blood glucose levels. Option C is incorrect because corticosteroid therapy can inhibit growth due to its impact on the endocrine system. Option D is incorrect because corticosteroid therapy can lead to mood changes such as irritability or even mood swings rather than improved mood.

5. What is a primary goal in managing a child with asthma?

• A. Avoiding all physical activities
• B. Achieving and maintaining control of asthma symptoms
• C. Increasing daily sugar intake
• D. Restricting all forms of medication

Correct answer: B

Rationale: The primary goal in managing a child with asthma is to achieve and maintain control of asthma symptoms to ensure the child's well-being and quality of life. This involves using appropriate medications as prescribed, identifying and avoiding triggers, and developing an asthma action plan. Choices A, C, and D are incorrect because avoiding all physical activities can lead to deconditioning and is not recommended, increasing daily sugar intake is unrelated to managing asthma, and restricting all forms of medication can be harmful as medications are often necessary to control asthma symptoms.

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