how should a nurse assess hydration status in a child with vomiting and diarrhea
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Nursing Elites

HESI LPN

Nutrition Final Exam

1. How should hydration status be assessed in a child with vomiting and diarrhea?

Correct answer: A

Rationale: Checking skin turgor and mucous membranes is the appropriate method to assess hydration status in a child with vomiting and diarrhea. Skin turgor is an indicator of skin elasticity, which decreases when an individual is dehydrated. Mucous membranes, such as the inside of the mouth, can also show signs of dehydration like dryness. Measuring blood glucose levels (choice B) is not relevant to assessing hydration status in this scenario. Assessing heart rate and blood pressure (choice C) is important in evaluating the overall condition of a child but may not directly indicate hydration status. Evaluating bowel sounds (choice D) is more related to assessing gastrointestinal function rather than hydration status.

2. What is a key aspect of managing a child with eczema?

Correct answer: B

Rationale: Regular use of emollients and moisturizers is a key aspect of managing eczema in children. Emollients help maintain skin hydration and reduce irritation, which are crucial in managing eczema symptoms. Daily baths with soap can actually worsen eczema by drying out the skin further. A high-protein diet and frequent exposure to sunlight are not directly related to managing eczema and may not have a significant impact on the condition.

3. Which of the following is considered a micronutrient?

Correct answer: C

Rationale: Corrected Question: Vitamin C is considered a micronutrient because it is required in small amounts for proper body functioning and is essential for health. Proteins, carbohydrates, and fats are macronutrients, needed in larger quantities for energy and other body functions. Vitamin C, being a micronutrient, plays a crucial role in various bodily functions even though it is needed in smaller quantities compared to macronutrients. Therefore, the correct answer is C. Choice A (Protein), Choice B (Carbohydrate), and Choice D (Fat) are incorrect as they are macronutrients required in larger amounts for energy and other body functions.

4. What should the nurse anticipate as challenging in caring for a child with acute glomerulonephritis?

Correct answer: C

Rationale: The correct answer is C: Bed rest. Implementing bed rest can be challenging, especially in active children, but it's necessary to manage the symptoms of acute glomerulonephritis. Forced fluids (choice A) may be required to maintain hydration but are not typically challenging. Increased feedings (choice B) and frequent position changes (choice D) are not primary interventions in the care of a child with acute glomerulonephritis.

5. How should a caregiver manage a child with a known allergy to peanuts?

Correct answer: A

Rationale: Avoiding peanut-containing products is crucial for managing a peanut allergy and preventing allergic reactions. Choice B suggesting regular exposure to peanuts can be harmful and trigger severe allergic reactions in a child with a peanut allergy. Regular exposure can increase the risk of anaphylaxis. Choice C of administering antihistamines daily is not a primary prevention strategy and should not be the first-line approach for managing a peanut allergy. Antihistamines only treat symptoms and do not prevent the allergic reaction. Choice D of recommending peanut-containing supplements can also lead to severe allergic reactions and is not recommended for a child with a known peanut allergy. It is essential to eliminate all sources of peanuts to prevent accidental exposure and potential life-threatening reactions.

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