what is an important consideration when administering medications to a child with a history of chronic renal failure

HESI LPN

Nutrition Final Exam Quizlet

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 common symptom of a vitamin D deficiency in children?

A. Frequent infections
B. Bone pain and tenderness
C. Excessive thirst
D. Unexplained bruising

Correct answer: B

Rationale: Bone pain and tenderness are indeed common symptoms of vitamin D deficiency in children. Vitamin D plays a crucial role in bone health and growth. The deficiency can lead to weakened bones, causing pain and tenderness. Choices A, C, and D are incorrect. Frequent infections are not a typical symptom of vitamin D deficiency in children; excessive thirst is more commonly associated with conditions like diabetes, and unexplained bruising is not directly linked to vitamin D deficiency.

3. What is the primary treatment for a child with acute otitis media?

A. Antihistamines
B. Nasal decongestants
C. Antibiotics
D. Ear drops

Correct answer: C

Rationale: The correct answer is C: Antibiotics. Antibiotics are the primary treatment for acute otitis media because the condition is often caused by a bacterial infection. Antihistamines (choice A) and nasal decongestants (choice B) are not the primary treatments for acute otitis media as they do not target the bacterial infection. Ear drops (choice D) are not the primary treatment for acute otitis media; antibiotics are required to treat the underlying bacterial cause.

4. How should a healthcare professional handle a child with a new diagnosis of ADHD?

A. Provide behavioral therapy and support
B. Increase sugar intake
C. Restrict all forms of exercise
D. Avoid medication use

Correct answer: A

Rationale: When dealing with a child newly diagnosed with ADHD, providing behavioral therapy and support is crucial. This approach helps the child learn coping strategies, improve social skills, and manage their symptoms effectively. Choice B, increasing sugar intake, is incorrect as there is no evidence linking sugar consumption to ADHD. Choice C, restricting all forms of exercise, is inappropriate as regular physical activity can actually benefit children with ADHD by helping them release excess energy and improve focus. Choice D, avoiding medication use, may not be the best course of action as medication prescribed by a healthcare professional can sometimes be beneficial in managing ADHD symptoms when combined with other therapies.

5. What is an important aspect of managing a child with asthma in a school setting?

A. Limiting physical activity
B. Ensuring access to emergency medications
C. Reducing the number of classes attended
D. Avoiding interaction with other students

Correct answer: B

Rationale: The correct answer is B: Ensuring access to emergency medications. In a school setting, it is crucial to have emergency medications available for a child with asthma in case of an asthma attack. This helps in managing asthma effectively and promptly. Choices A, C, and D are incorrect because limiting physical activity, reducing the number of classes attended, and avoiding interaction with other students are not recommended strategies for managing asthma in a school setting. Encouraging physical activity, ensuring regular attendance, and promoting social interactions are important for the overall well-being of a child with asthma.