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 the most effective therapy for maintaining remission of acute lymphoblastic leukemia?

• A. Surgery to remove enlarged lymph nodes
• B. Long-term chemotherapy
• C. Nutritional supplements to enhance blood cell production
• D. Blood transfusions to replace ineffective red cells

Correct answer: B

Rationale: The correct answer is B: Long-term chemotherapy. Long-term chemotherapy, specifically with methotrexate, is the most effective therapy for maintaining remission in acute lymphoblastic leukemia. Surgery to remove enlarged lymph nodes (Choice A) is not the primary treatment for leukemia. Nutritional supplements (Choice C) may support overall health but are not the mainstay therapy for maintaining leukemia remission. Blood transfusions (Choice D) are used to address anemia in some cases but are not the primary treatment for maintaining remission in acute lymphoblastic leukemia.

3. How should a caregiver handle a child with a known peanut allergy?

• A. Educate on allergen avoidance
• B. Increase exposure to peanuts
• C. Administer antihistamines as needed
• D. Suggest occasional consumption of peanuts

Correct answer: A

Rationale: Educating on allergen avoidance is the correct approach when dealing with a child who has a known peanut allergy. This helps in managing the allergy effectively and preventing potential allergic reactions. Increasing exposure to peanuts (Choice B) is dangerous and can trigger severe allergic reactions in a child with a peanut allergy. While antihistamines (Choice C) can help alleviate some symptoms, they should not be the primary method of managing a peanut allergy. Suggesting occasional consumption of peanuts (Choice D) is extremely risky and should never be done for a child with a known peanut allergy.

4. If a group of people consumes an amount of protein equal to the estimated average requirement for their population group, what percentage of people will receive insufficient amounts?

• A. 10
• B. 25
• C. 33
• D. 50

Correct answer: D

Rationale: If a group consumes an amount of protein equal to the estimated average requirement, 50% of the people will receive insufficient amounts. The estimated average requirement is the amount of a nutrient that is estimated to meet the requirement of half the healthy individuals in a particular life stage and gender group. Therefore, 50% of the group will not be meeting their individual needs if they are consuming only the average requirement. Choices A, B, and C are incorrect because at the estimated average requirement level, a higher percentage than those values will receive insufficient amounts.

5. What is the recommended treatment for a child with a first-degree burn?

• A. Immediate application of ice
• B. Administration of oral antibiotics
• C. Application of cool, moist compresses
• D. Application of hot packs

Correct answer: C

Rationale: The recommended treatment for a child with a first-degree burn is the application of cool, moist compresses. This helps in reducing pain and swelling without causing further damage to the skin. Applying ice directly to a burn can lead to frostbite and worsen the injury (Choice A). Oral antibiotics are not necessary for first-degree burns as they do not typically involve infection (Choice B). Hot packs should be avoided as they can further damage the skin and increase inflammation (Choice D).

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