Nursing Elites

1. What is an important dietary consideration for a child with renal failure?

• A. Low-protein, low-sodium diet
• B. High-protein, high-sodium diet
• C. Increased calcium intake
• D. High-fiber diet

Correct answer: A

Rationale: A low-protein, low-sodium diet is crucial for a child with renal failure because it helps reduce the workload on the kidneys and minimize complications. High-protein and high-sodium diets can place excessive strain on the kidneys and worsen the condition. Increased calcium intake is not typically a primary consideration for renal failure in children. While a high-fiber diet can be beneficial for overall health, it is not a specific priority for managing renal failure in children.

2. What is the primary role of dietary guidelines?

• A. To ensure that all food groups are consumed in appropriate proportions.
• B. To prevent chronic diseases and promote overall well-being.
• C. To help individuals meet their nutritional needs while reducing the risk of chronic disease.
• D. To offer specific recommendations for the intake of nutrients that support health.

Correct answer: C

Rationale: The correct answer is C: 'To help individuals meet their nutritional needs while reducing the risk of chronic disease.' Dietary guidelines are designed to provide guidance on the types and amounts of food that support good health and reduce the risk of chronic diseases. Choice A has been corrected to mention 'appropriate proportions' instead of 'equal amounts,' as dietary guidelines emphasize balance and variety. Choice B is partially correct, but the primary focus of dietary guidelines is on meeting nutritional needs. Choice D is incorrect because while dietary guidelines may include nutrient recommendations, their primary focus is on overall dietary patterns rather than specific nutrient intake.

3. What should be monitored in a child receiving chemotherapy?

• A. Blood glucose levels
• B. Blood cell counts
• C. Weight gain
• D. Skin elasticity

Correct answer: B

Rationale: The correct answer is monitoring blood cell counts. During chemotherapy, it is crucial to monitor blood cell counts to detect potential side effects such as neutropenia (low white blood cell count) and anemia (low red blood cell count). These conditions can increase the risk of infections and fatigue. Monitoring blood glucose levels (Choice A) is not typically a primary concern in children receiving chemotherapy unless they have pre-existing conditions like diabetes. Weight gain (Choice C) and skin elasticity (Choice D) are not directly related to monitoring the effects of chemotherapy in children. Therefore, the most important parameter to monitor in a child receiving chemotherapy is blood cell counts.

4. Following diarrhea, which foods should be offered to the school-age child?

• A. Apricots and peaches
• B. Chocolate milk
• C. Applesauce and milk
• D. Bananas and rice

Correct answer: D

Rationale: After a bout of diarrhea, it is important to offer foods that are gentle on the stomach and help in recovery. Bananas and rice are commonly recommended as they are easily digestible and can help firm up stools. Apricots, peaches, and applesauce may be too acidic and fibrous, potentially aggravating the stomach. Chocolate milk is high in sugar and can worsen diarrhea due to its lactose content.

5. What is one characteristic that differentiates vitamins from minerals?

• A. Vitamins are organic compounds.
• B. Vitamins provide energy.
• C. Vitamins are considered micronutrients.
• D. Vitamins are essential in small amounts.

Correct answer: A

Rationale: The correct answer is A. Vitamins are organic compounds, containing carbon, which is a key characteristic that differentiates them from minerals. Choice B is incorrect because vitamins do not provide energy; they are not a source of calories. Choice C is incorrect as both vitamins and minerals are considered micronutrients due to being essential in small amounts. Choice D is incorrect because while it is true that vitamins are needed in small amounts, this is not the characteristic that sets them apart from minerals.

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