Nursing Elites

1. How should a healthcare provider address the nutritional needs of a child with chronic kidney disease?

• A. Increase protein intake
• B. Reduce sodium and phosphorus intake
• C. Promote a high-fat diet
• D. Encourage frequent sugary snacks

Correct answer: B

Rationale: Reducing sodium and phosphorus intake is crucial in managing chronic kidney disease in children because it helps prevent complications such as electrolyte imbalances and bone problems. High protein intake can actually be harmful to the kidneys in this condition as it can lead to increased waste production. A high-fat diet is not recommended as it can contribute to heart and blood vessel problems. Encouraging frequent sugary snacks can lead to further complications like obesity and diabetes, which are not beneficial for a child with chronic kidney disease.

2. Farah is viewing an exciting sports match of her favorite team and eating because of nervousness. Her food choice will most likely be based on ___.

• A. regional cuisines
• B. preferences
• C. emotional comfort
• D. positive association

Correct answer: C

Rationale: During stressful situations like watching an exciting sports match, individuals often seek emotional comfort through food. This emotional connection can lead Farah to choose foods that provide comfort or familiarity rather than being based on regional cuisines (choice A), general preferences (choice B), or positive associations (choice D). Farah's food choice is likely driven by the need for emotional comfort to alleviate her nervousness, making option C the most suitable answer.

3. What is an important dietary consideration for a child with cystic fibrosis?

• A. High-calorie, high-fat diet
• B. Low-sugar diet
• C. Increased dietary fiber
• D. High-sodium diet

Correct answer: A

Rationale: For a child with cystic fibrosis, an important dietary consideration is a high-calorie, high-fat diet. This type of diet helps address malabsorption issues commonly seen in individuals with cystic fibrosis and supports adequate growth and development. High-calorie, high-fat foods are recommended to help meet the increased energy needs of these individuals. Choices B, C, and D are not the most appropriate dietary considerations for a child with cystic fibrosis. A low-sugar diet may not provide enough calories for optimal growth, increased dietary fiber may exacerbate issues related to malabsorption, and a high-sodium diet is generally not recommended due to the risk of dehydration and electrolyte imbalances in individuals with cystic fibrosis.

4. What is the most common initial symptom of juvenile idiopathic arthritis?

• A. Joint swelling and pain
• B. Skin rash
• C. Gastrointestinal bleeding
• D. Neurological deficits

Correct answer: A

Rationale: The correct answer is A: Joint swelling and pain. These are the most common initial symptoms of juvenile idiopathic arthritis, typically affecting multiple joints. Skin rash (choice B), gastrointestinal bleeding (choice C), and neurological deficits (choice D) are not typical initial symptoms of juvenile idiopathic arthritis. Skin rash may be seen in other conditions like dermatitis or systemic lupus erythematosus, gastrointestinal bleeding may be associated with conditions like inflammatory bowel disease, and neurological deficits could be indicative of conditions like multiple sclerosis.

5. What is a common treatment for a child with iron-deficiency anemia?

• A. Iron supplements
• B. High-protein diet
• C. Vitamin B12 injections
• D. Sodium chloride solution

Correct answer: A

Rationale: Iron supplements are the correct choice for treating iron-deficiency anemia in children. Iron supplements help replenish the low iron levels in the body, addressing the underlying cause of the anemia. High-protein diets may be beneficial for overall health but are not the primary treatment for iron-deficiency anemia. Vitamin B12 injections are used to treat B12 deficiency anemia, a different type of anemia. Sodium chloride solution is not a treatment for anemia and is typically used for hydration purposes.

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