Nursing Elites

1. What is a common treatment for a child with a urinary tract infection (UTI)?

• A. Intravenous antibiotics
• B. Oral antibiotics
• C. Increased fluid intake only
• D. Topical antibiotics

Correct answer: B

Rationale: Oral antibiotics are the correct choice for treating a child with a urinary tract infection (UTI). They are often prescribed to effectively address the infection and alleviate symptoms. Intravenous antibiotics (Choice A) are usually reserved for severe cases where oral antibiotics are not feasible or effective. Increased fluid intake (Choice C) can help in flushing out bacteria but is not a standalone treatment for UTIs. Topical antibiotics (Choice D) are not typically used to treat UTIs as they are more suited for skin infections.

2. What is a common side effect of corticosteroid therapy in children?

• A. Increased appetite
• B. Decreased blood glucose levels
• C. Inhibited growth
• D. Mood changes

Correct answer: A

Rationale: The correct answer is A: Increased appetite. Corticosteroid therapy commonly causes increased appetite in children. This side effect can lead to weight gain and other metabolic changes. Option B is incorrect because corticosteroid therapy is more likely to result in increased blood glucose levels. Option C is incorrect because corticosteroid therapy can inhibit growth due to its impact on the endocrine system. Option D is incorrect because corticosteroid therapy can lead to mood changes such as irritability or even mood swings rather than improved mood.

3. What is a key preventive measure for avoiding urinary tract infections (UTIs) in children?

• A. Restrict fluid intake
• B. Encourage frequent urination
• C. Use topical antibiotics
• D. Increase dietary calcium

Correct answer: B

Rationale: Encouraging frequent urination is a key preventive measure for avoiding urinary tract infections (UTIs) in children. It helps flush bacteria from the urinary tract, reducing the risk of UTIs. Restricting fluid intake (Choice A) is not recommended as it may lead to concentrated urine and increase the risk of UTIs. Using topical antibiotics (Choice C) is not a preventive measure for UTIs and should only be used under medical guidance. Increasing dietary calcium (Choice D) is not directly linked to preventing UTIs in children.

4. What should be assessed first in a child with suspected head trauma?

• A. Response to verbal stimuli
• B. Pupillary reaction
• C. Skin color
• D. Heart rate

Correct answer: A

Rationale: The correct answer is to assess the response to verbal stimuli first in a child with suspected head trauma. This assessment helps in determining the child's level of consciousness and neurological status. Assessing the response to verbal stimuli allows healthcare providers to quickly evaluate if the child is alert, oriented, and able to communicate effectively. This initial assessment is crucial in identifying any immediate concerns related to the child's neurological function. Choices B, C, and D are not the primary assessments in cases of suspected head trauma. While pupillary reaction, skin color, and heart rate are important assessments in trauma situations, assessing the response to verbal stimuli takes precedence in evaluating the neurological status of a child with head trauma.

5. Why must a child with acute laryngotracheobronchitis be kept NPO?

• A. The epinephrine administration may cause nausea and vomiting
• B. The child is being hydrated with IV fluids
• C. The child may not feel hungry
• D. Rapid respirations pose a risk for aspiration

Correct answer: D

Rationale: In acute laryngotracheobronchitis, rapid respirations increase the risk of aspiration due to compromised airway protection and potential for secretions to enter the lungs. Keeping the child NPO helps prevent the risk of aspiration pneumonia. Choice A is incorrect because epinephrine is not typically used for laryngotracheobronchitis. Choice B is incorrect as hydration with IV fluids does not eliminate the risk of aspiration. Choice C is also incorrect because the child being hungry is not the primary reason for keeping them NPO in this condition.

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