Nursing Elites

1. What is the first-line treatment for a child with a bacterial ear infection?

• A. Intravenous antibiotics
• B. Oral antibiotics
• C. Nasal decongestants
• D. Antihistamines

Correct answer: B

Rationale: The correct answer is B: Oral antibiotics. Oral antibiotics are the first-line treatment for bacterial ear infections in children as they effectively target the infection at the source and help alleviate symptoms. Intravenous antibiotics (Choice A) are typically reserved for severe cases where oral antibiotics are not sufficient. Nasal decongestants (Choice C) and antihistamines (Choice D) are not the primary treatments for bacterial ear infections. Nasal decongestants are used for nasal congestion, and antihistamines are used for allergies. However, these medications do not directly address the bacterial infection in the ear, unlike oral antibiotics.

2. What is a key intervention for a child with a new diagnosis of type 1 diabetes?

• A. Insulin administration
• B. Increased dietary fat intake
• C. Restricted fluid intake
• D. Routine physical examinations only

Correct answer: A

Rationale: The correct answer is A: Insulin administration. When a child is diagnosed with type 1 diabetes, insulin administration is a crucial intervention. Insulin helps regulate blood glucose levels by enabling cells to take in glucose from the bloodstream. Without sufficient insulin, blood glucose levels can become dangerously high, leading to various complications. Increased dietary fat intake (choice B) is not a recommended intervention for type 1 diabetes management, as it can contribute to weight gain and other health issues. Restricted fluid intake (choice C) is also not appropriate, as adequate hydration is essential for overall health. Routine physical examinations (choice D) are important but are not the primary intervention needed to manage type 1 diabetes.

3. What term describes foods that contain non-nutrient substances whose known action in the body is to promote well-being to a greater extent than that contributed by the food's nutrients?

• A. fortified foods
• B. enriched foods
• C. functional foods
• D. health-enhancing foods

Correct answer: C

Rationale: Functional foods are specifically designed to promote health benefits beyond basic nutrition. Fortified foods (choice A) are those with added nutrients that are not originally present, enriched foods (choice B) have nutrients added back that were lost during processing, and health-enhancing foods (choice D) is a vague and less specific term compared to functional foods.

4. What is a key aspect of managing a child with cystic fibrosis?

• A. Regular pulmonary function tests
• B. Daily administration of antibiotics only
• C. High-sugar diet
• D. Limiting all physical activities

Correct answer: A

Rationale: Regular pulmonary function tests are a key aspect of managing a child with cystic fibrosis. These tests help monitor lung function and disease progression effectively, providing valuable information for healthcare providers to make timely interventions and adjustments to treatment plans. Daily administration of antibiotics alone (Choice B) is important but not the sole key aspect of managing cystic fibrosis. A high-sugar diet (Choice C) is not recommended for individuals with cystic fibrosis as it can exacerbate health issues. Limiting all physical activities (Choice D) is not beneficial as regular exercise is important for overall health and lung function in individuals with cystic fibrosis.

5. What action should be taken for a 2-year-old with laryngotracheobronchitis in an oxygen tent?

• A. Restrain the child and notify the healthcare provider
• B. Increase the oxygen concentration
• C. Take the child to the playroom
• D. Ask the mother to help in comforting the child

Correct answer: B

Rationale: In laryngotracheobronchitis (croup), a child may become restless due to poor oxygenation. Increasing the oxygen concentration in the oxygen tent is crucial to improve oxygenation levels and manage symptoms effectively. Restraint is not appropriate in this situation, as it may cause distress and worsen the child's condition. Taking the child to the playroom is not indicated when the child requires oxygen therapy. While comforting the child is important, the priority in this scenario is to optimize oxygen delivery to improve respiratory distress.

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