Nursing Elites

1. How should a healthcare provider manage a child with newly diagnosed congenital hypothyroidism?

• A. Monitor for signs of hyperactivity
• B. Ensure regular thyroid hormone replacement therapy
• C. Encourage a high-calcium diet
• D. Increase physical exercise

Correct answer: B

Rationale: Correct Answer: Ensuring regular thyroid hormone replacement therapy is crucial for managing congenital hypothyroidism in children. This therapy supports normal growth and development by replacing the deficient thyroid hormones. Monitoring for signs of hyperactivity (Choice A) is not the primary management for congenital hypothyroidism; rather, the focus should be on addressing the hormone deficiency. Encouraging a high-calcium diet (Choice C) may not directly address the thyroid hormone deficiency characteristic of congenital hypothyroidism. Increasing physical exercise (Choice D) is not the mainstay treatment for this condition; hormone replacement therapy is the cornerstone of management.

2. The motive for a person who alters their diet due to religious convictions is most likely related to their ___.

• A. values
• B. body image
• C. ethnic heritage
• D. functional association

Correct answer: A

Rationale: The correct answer is A, 'values.' When individuals alter their diet due to religious convictions, it is primarily driven by their personal or cultural values associated with their faith. This choice reflects the strong influence that religious beliefs can have on dietary choices. Choice B, 'body image,' is incorrect because altering one's diet for religious reasons is more about spiritual beliefs than physical appearance. Choice C, 'ethnic heritage,' is incorrect as it pertains more to cultural background rather than religious convictions. Choice D, 'functional association,' is incorrect as it does not directly relate to the motivation behind altering one's diet for religious reasons.

3. What should be monitored closely in a child receiving chemotherapy?

• A. Blood glucose levels
• B. White blood cell count
• C. Blood pressure
• D. Heart rate

Correct answer: B

Rationale: The correct answer is B: White blood cell count. During chemotherapy, it is crucial to monitor the white blood cell count closely to detect potential neutropenia (low white blood cell count) and the associated risk of infections. Monitoring blood glucose levels (Choice A) is important for diabetic management and not directly related to chemotherapy. Blood pressure (Choice C) and heart rate (Choice D) are essential vital signs to monitor but are not the primary focus when monitoring a child receiving chemotherapy.

4. 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.

5. How many vitamins are known to be required in the diet of human beings?

• A. 5
• B. 8
• C. 10
• D. 13

Correct answer: D

Rationale: The correct answer is D: 13. There are 13 essential vitamins required in the diet of human beings, including vitamins A, C, D, E, K, and the B vitamins. Choice A (5), Choice B (8), and Choice C (10) are incorrect because they do not represent the total number of essential vitamins needed by human beings.

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