Nursing Elites

1. How should a healthcare provider approach the care of a child with juvenile idiopathic arthritis (JIA)?

• A. Promote weight maintenance
• B. Encourage joint mobility exercises
• C. Avoid physical inactivity
• D. Ensure a balanced diet

Correct answer: B

Rationale: Encouraging joint mobility exercises is the appropriate approach to caring for a child with juvenile idiopathic arthritis (JIA). These exercises help maintain joint function and reduce stiffness, which are crucial in managing the condition. Choices A, C, and D are incorrect. Promoting weight maintenance is more relevant than weight gain as maintaining a healthy weight is important in managing JIA. Avoiding physical inactivity is not recommended as controlled and appropriate physical activities can help improve joint flexibility and overall health. Ensuring a balanced diet, which includes adequate protein, is important for overall nutrition but is not a specific intervention for managing JIA.

2. 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.

3. Why would a person who eats a bowl of oatmeal for breakfast every day most likely be making a food choice based on ___?

• A. habit
• B. availability
• C. body image
• D. environmental concerns

Correct answer: A

Rationale: The correct answer is A: habit. Eating the same food regularly often stems from habit, which is a behavior that is repeated regularly and tends to occur subconsciously. Choice B, availability, is incorrect as it refers to the accessibility of a particular food rather than the frequency of consumption. Choice C, body image, is also incorrect as this term relates to how one perceives their own body rather than their food choices. Choice D, environmental concerns, is unrelated to the scenario provided, which is about the frequency of choosing oatmeal for breakfast.

4. How should a caregiver handle a child with a known peanut allergy?

• A. Educate on allergen avoidance
• B. Increase exposure to peanuts
• C. Administer antihistamines as needed
• D. Suggest occasional consumption of peanuts

Correct answer: A

Rationale: Educating on allergen avoidance is the correct approach when dealing with a child who has a known peanut allergy. This helps in managing the allergy effectively and preventing potential allergic reactions. Increasing exposure to peanuts (Choice B) is dangerous and can trigger severe allergic reactions in a child with a peanut allergy. While antihistamines (Choice C) can help alleviate some symptoms, they should not be the primary method of managing a peanut allergy. Suggesting occasional consumption of peanuts (Choice D) is extremely risky and should never be done for a child with a known peanut allergy.

5. Following diarrhea, which foods should be offered to the school-age child?

• A. Apricots and peaches
• B. Chocolate milk
• C. Applesauce and milk
• D. Bananas and rice

Correct answer: D

Rationale: After a bout of diarrhea, it is important to offer foods that are gentle on the stomach and help in recovery. Bananas and rice are commonly recommended as they are easily digestible and can help firm up stools. Apricots, peaches, and applesauce may be too acidic and fibrous, potentially aggravating the stomach. Chocolate milk is high in sugar and can worsen diarrhea due to its lactose content.

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