how should a nurse manage a child with a newly inserted gastrostomy tube
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Nursing Elites

HESI LPN

Nutrition Final Exam

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

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.

2. What is a common sign of a urinary tract infection (UTI) in toddlers?

Correct answer: B

Rationale: Frequent, painful urination is a common sign of a urinary tract infection in toddlers. This symptom is often accompanied by possible fever and irritability. Excessive thirst (Choice A) is not a typical sign of a UTI in toddlers and is more commonly associated with conditions like diabetes. Increased appetite (Choice C) is not a typical symptom of a UTI in toddlers either. Skin rash (Choice D) is not a common sign of a UTI but may indicate other conditions like allergies or infections.

3. When an increase in exercise is accompanied by a decrease in body weight, it is an example of what?

Correct answer: C

Rationale: When an increase in exercise is accompanied by a decrease in body weight, it demonstrates a negative correlation. This means that as one variable (exercise) increases, the other variable (body weight) decreases. Choice A, 'variable effect,' is vague and does not accurately describe the relationship between exercise and body weight. Choice B, 'positive correlation,' is incorrect because in a positive correlation, both variables would increase or decrease together. Choice D, 'randomization effect,' is unrelated to the scenario described.

4. In the scientific method, a tentative solution to a problem is called a what?

Correct answer: C

Rationale: In the scientific method, a hypothesis is a tentative solution or educated guess that is tested through research. A theory (choice A) is a well-substantiated explanation based on evidence and extensive testing. A prediction (choice B) is a statement about what will happen in the future based on existing knowledge. Correlation (choice D) refers to a mutual relationship between two or more things, indicating how they may change together but not providing a solution to a problem.

5. What is a common clinical manifestation of Kawasaki disease?

Correct answer: B

Rationale: A high fever lasting more than 5 days is a common clinical manifestation of Kawasaki disease. This fever is often accompanied by other symptoms such as rash and conjunctivitis. Severe headaches (Choice A), chronic cough (Choice C), and severe abdominal pain (Choice D) are not typically associated with Kawasaki disease, making them incorrect choices.

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