Nursing Elites

1. What is an important consideration when administering medications to a child with a history of chronic renal failure?

• A. Increased frequency of medication administration
• B. Adjustments in dosage due to altered drug metabolism
• C. Avoidance of all medications
• D. Use of only intravenous medications

Correct answer: B

Rationale: When administering medications to a child with chronic renal failure, it is crucial to consider adjustments in dosage due to altered drug metabolism. Children with chronic renal failure may have impaired drug excretion, leading to potential drug accumulation and toxicity. Increasing the frequency of medication administration (choice A) may not address the altered drug metabolism issue and could increase the risk of adverse effects. Avoiding all medications (choice C) is not practical or safe as some medications may be necessary for the child's health. Using only intravenous medications (choice D) is not always required and may not be the best route of administration for all medications needed.

2. 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.

3. A child develops a strong dislike of noodle soup after consuming a bowl while sick with the flu. Her reaction is an example of a food-related ___.

• A. habit
• B. social interaction
• C. emotional turmoil
• D. negative association

Correct answer: D

Rationale: The correct answer is 'negative association.' A negative association occurs when a person develops a dislike for a food due to a past negative experience, such as getting sick after eating it. In this case, the child's dislike of noodle soup is specifically linked to the negative experience of consuming it while sick with the flu. Choices A, B, and C are incorrect because the situation described does not relate to habit formation, social interactions, or emotional turmoil, but rather to a learned aversion based on a specific negative event.

4. What is a key intervention for a child with a new diagnosis of asthma?

• A. Provide a peak flow meter
• B. Limit all physical activity
• C. Increase dairy consumption
• D. Recommend frequent use of nasal decongestants

Correct answer: A

Rationale: The correct answer is A: Provide a peak flow meter. Providing a peak flow meter is crucial for a child with a new diagnosis of asthma as it helps monitor asthma control and manage symptoms by tracking changes in airflow. This device assists in assessing how well the lungs are functioning and guides treatment decisions. Limiting all physical activity (choice B) is not recommended as regular exercise can actually help improve lung function in asthmatic children. Increasing dairy consumption (choice C) is not a key intervention for asthma, and recommending frequent use of nasal decongestants (choice D) is not suitable for asthma management in children.

5. How many vitamins are known to be required in the diet of human beings?

• A. 5
• B. 8
• C. 10
• D. 13

Correct answer: D

Rationale: The correct answer is D: 13. There are 13 essential vitamins required in the diet of human beings, including vitamins A, C, D, E, K, and the B vitamins. Choice A (5), Choice B (8), and Choice C (10) are incorrect because they do not represent the total number of essential vitamins needed by human beings.

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