Nursing Elites

1. What is an important aspect of the care plan for a child with eczema?

• A. Use of steroid creams
• B. Frequent antibiotic therapy
• C. High-protein diet
• D. Daily baths in hot water

Correct answer: A

Rationale: The correct answer is A: Use of steroid creams. Steroid creams are commonly used in the management of eczema to reduce inflammation and itching, thus improving the skin condition and comfort of the child. Choice B, frequent antibiotic therapy, is incorrect as antibiotics are not typically used to treat eczema unless there is a secondary bacterial infection. Choice C, a high-protein diet, is not a specific recommendation for eczema treatment. Choice D, daily baths in hot water, is not recommended for eczema care as hot water can exacerbate the condition by drying out the skin.

2. What is a primary concern for a child with a new diagnosis of diabetes mellitus?

• A. Increased growth rate
• B. Risk of hyperglycemia
• C. Risk of dehydration
• D. Improved appetite

Correct answer: B

Rationale: The correct answer is B: Risk of hyperglycemia. When a child is newly diagnosed with diabetes mellitus, one of the primary concerns is the risk of hyperglycemia, which refers to high blood glucose levels. Hyperglycemia can lead to various complications if not managed properly, making it crucial to stabilize blood glucose levels. Choices A, C, and D are incorrect because increased growth rate, risk of dehydration, and improved appetite are not primary concerns specifically associated with a new diagnosis of diabetes mellitus.

3. How should a healthcare provider approach the care of a child with juvenile idiopathic arthritis (JIA)?

• A. Promote weight maintenance
• B. Encourage joint mobility exercises
• C. Avoid physical inactivity
• D. Ensure a balanced diet

Correct answer: B

Rationale: Encouraging joint mobility exercises is the appropriate approach to caring for a child with juvenile idiopathic arthritis (JIA). These exercises help maintain joint function and reduce stiffness, which are crucial in managing the condition. Choices A, C, and D are incorrect. Promoting weight maintenance is more relevant than weight gain as maintaining a healthy weight is important in managing JIA. Avoiding physical inactivity is not recommended as controlled and appropriate physical activities can help improve joint flexibility and overall health. Ensuring a balanced diet, which includes adequate protein, is important for overall nutrition but is not a specific intervention for managing JIA.

4. What should be monitored in a child with congenital adrenal hyperplasia (CAH)?

• A. Blood glucose levels
• B. Electrolyte balance
• C. Urine output
• D. Hemoglobin levels

Correct answer: B

Rationale: In a child with congenital adrenal hyperplasia (CAH), monitoring electrolyte balance is crucial. CAH can lead to adrenal insufficiency, causing imbalances in electrolytes such as sodium and potassium. Monitoring electrolyte levels helps in preventing complications like dehydration, electrolyte disturbances, and adrenal crisis. While blood glucose levels may need monitoring in other conditions like diabetes, it is not the primary concern in CAH. Urine output is important in assessing kidney function but is not a direct monitoring parameter for CAH. Hemoglobin levels are more relevant in conditions such as anemia, not specifically in CAH.

5. What is a long-term complication of cleft lip and palate?

• A. Cognitive impairment
• B. Altered growth and development
• C. Faulty dentition
• D. Physical abilities

Correct answer: C

Rationale: The correct long-term complication of cleft lip and palate is faulty dentition. Individuals with cleft lip and palate may experience dental issues such as missing, extra, or misaligned teeth, which can affect speech and the aesthetic appearance of the mouth. Cognitive impairment, as mentioned in choice A, is not a typical long-term complication associated with cleft lip and palate. While altered growth and development (choice B) can be affected during early stages, it is not a prominent long-term complication. Choice D, physical abilities, is not directly related to the typical long-term complications of cleft lip and palate.

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