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. 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.

3. What is an essential part of care for a child with asthma during an acute episode?

• A. Administer a bronchodilator
• B. Provide high doses of steroids
• C. Increase fluid intake
• D. Restrict all physical activity

Correct answer: A

Rationale: Administering a bronchodilator is an essential part of caring for a child with asthma during an acute episode because it helps to open airways and relieve acute asthma symptoms effectively. Providing high doses of steroids (Choice B) is typically done in severe cases or when other treatments fail. Increasing fluid intake (Choice C) can be beneficial to prevent dehydration, but it is not the primary intervention during an acute asthma episode. Restricting all physical activity (Choice D) is not recommended as some physical activity may help improve lung function and overall well-being.

4. How should a healthcare professional manage a child with a newly inserted gastrostomy tube?

• A. Monitor for signs of infection
• B. Increase the child's fluid intake
• C. Restrict all oral intake
• D. Use only sterile equipment for feedings

Correct answer: A

Rationale: Monitoring for signs of infection at the gastrostomy site is crucial for ensuring proper care and preventing complications. This involves observing for redness, swelling, warmth, or drainage around the insertion site. Increasing the child's fluid intake (Choice B) may be beneficial for hydration but is not specifically related to managing a newly inserted gastrostomy tube. Restricting all oral intake (Choice C) is not necessary as long as the healthcare professional follows the recommended guidelines for feeding. While using sterile equipment for feedings (Choice D) is important, monitoring for signs of infection takes precedence in the immediate post-insertion period.

5. 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.

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