Nursing Elites

1. 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.

2. 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.

3. Which of the following is a common complication of an untreated inguinal hernia in children?

• A. Gastroenteritis
• B. Strangulation of the hernia
• C. Chronic cough
• D. Epistaxis

Correct answer: B

Rationale: The correct answer is B: Strangulation of the hernia. Untreated inguinal hernias in children can lead to strangulation, which can result in bowel obstruction and ischemia. This is a serious complication that requires prompt medical attention. Choices A, C, and D are incorrect. Gastroenteritis is a gastrointestinal infection that is not directly related to untreated inguinal hernias. Chronic cough is not typically associated with this condition. Epistaxis refers to nosebleeds, which are not a common complication of untreated inguinal hernias in children.

4. How should hydration status be assessed in a child with vomiting and diarrhea?

• A. Check skin turgor and mucous membranes
• B. Measure blood glucose levels
• C. Assess heart rate and blood pressure
• D. Evaluate bowel sounds

Correct answer: A

Rationale: Checking skin turgor and mucous membranes is the appropriate method to assess hydration status in a child with vomiting and diarrhea. Skin turgor is an indicator of skin elasticity, which decreases when an individual is dehydrated. Mucous membranes, such as the inside of the mouth, can also show signs of dehydration like dryness. Measuring blood glucose levels (choice B) is not relevant to assessing hydration status in this scenario. Assessing heart rate and blood pressure (choice C) is important in evaluating the overall condition of a child but may not directly indicate hydration status. Evaluating bowel sounds (choice D) is more related to assessing gastrointestinal function rather than hydration status.

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

• A. variable effect
• B. positive correlation
• C. negative correlation
• D. randomization effect

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.

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