Nursing Elites

1. How should a healthcare provider assist in the management of a child with type 1 diabetes?

• A. Provide high-carbohydrate snacks
• B. Schedule frequent blood glucose tests
• C. Increase dietary fat intake
• D. Encourage a high-protein diet

Correct answer: B

Rationale: For the management of type 1 diabetes in a child, scheduling frequent blood glucose tests is essential. These tests help in monitoring blood sugar levels, adjusting insulin doses, and ensuring proper glucose control. Choices A, C, and D are incorrect. Providing high-carbohydrate snacks can lead to blood sugar spikes, increasing dietary fat intake is not recommended, and encouraging a high-protein diet is not a standard recommendation for managing type 1 diabetes in children.

2. What is an important dietary consideration for a child with renal failure?

• A. Low-protein, low-sodium diet
• B. High-protein, high-sodium diet
• C. Increased calcium intake
• D. High-fiber diet

Correct answer: A

Rationale: A low-protein, low-sodium diet is crucial for a child with renal failure because it helps reduce the workload on the kidneys and minimize complications. High-protein and high-sodium diets can place excessive strain on the kidneys and worsen the condition. Increased calcium intake is not typically a primary consideration for renal failure in children. While a high-fiber diet can be beneficial for overall health, it is not a specific priority for managing renal failure in children.

3. What is an important dietary consideration for a child with celiac disease?

• A. Increased iron intake
• B. Gluten-free diet
• C. High-protein diet
• D. Low-sodium diet

Correct answer: B

Rationale: A gluten-free diet is crucial for managing celiac disease in children because it helps prevent intestinal damage and alleviate symptoms. Gluten is a protein found in wheat, barley, and rye, and it triggers an immune response in individuals with celiac disease, damaging the lining of the small intestine. Therefore, choices A, C, and D are incorrect. While iron intake is important for overall health, a child with celiac disease can still meet their iron needs through sources that are naturally gluten-free or fortified. A high-protein diet or a low-sodium diet are not specifically required for managing celiac disease.

4. Food energy is commonly expressed in kilocalories and in what other unit?

• A. kilojoules
• B. kilograms
• C. kilometers
• D. kilonewtons

Correct answer: A

Rationale: Food energy is commonly expressed in kilocalories and kilojoules. Kilocalories and kilojoules are both units of energy commonly used to measure the energy content of food. Kilograms, kilometers, and kilonewtons are units of mass, distance, and force, respectively, and are not used to express food energy.

5. What is an important aspect of managing a child with chronic kidney disease?

• A. Monitoring electrolyte levels
• B. Increasing protein intake
• C. Limiting fluid intake
• D. Encouraging a high-fat diet

Correct answer: A

Rationale: Monitoring electrolyte levels is crucial in managing chronic kidney disease in children because imbalances can lead to serious complications. Electrolyte levels must be carefully monitored to prevent issues such as electrolyte abnormalities, which can further impact kidney function and overall health. Choices B, C, and D are incorrect because increasing protein intake, limiting fluid intake, and encouraging a high-fat diet can exacerbate kidney disease in children by putting extra strain on their kidneys or causing other health problems.

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