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 the term for the study of how diet affects gene expression?

• A. Epigenetics
• B. Nutrigenomics
• C. Genomics
• D. Genetics

Correct answer: B

Rationale: Nutrigenomics is the study of how diet affects gene expression, influencing health outcomes and disease risk. Epigenetics (choice A) involves changes in gene expression or cellular phenotype caused by mechanisms other than changes in the underlying DNA sequence. Genomics (choice C) is the study of an organism's entire genome. Genetics (choice D) is the study of heredity and the variation of inherited characteristics.

3. How should a healthcare provider manage a child with newly diagnosed congenital hypothyroidism?

• A. Monitor for signs of hyperactivity
• B. Ensure regular thyroid hormone replacement therapy
• C. Encourage a high-calcium diet
• D. Increase physical exercise

Correct answer: B

Rationale: Correct Answer: Ensuring regular thyroid hormone replacement therapy is crucial for managing congenital hypothyroidism in children. This therapy supports normal growth and development by replacing the deficient thyroid hormones. Monitoring for signs of hyperactivity (Choice A) is not the primary management for congenital hypothyroidism; rather, the focus should be on addressing the hormone deficiency. Encouraging a high-calcium diet (Choice C) may not directly address the thyroid hormone deficiency characteristic of congenital hypothyroidism. Increasing physical exercise (Choice D) is not the mainstay treatment for this condition; hormone replacement therapy is the cornerstone of management.

4. Which medication is typically used for long-term control of asthma?

• A. Albuterol
• B. Theophylline
• C. Ipratropium
• D. Prednisone

Correct answer: B

Rationale: The correct answer is B, Theophylline. Theophylline is commonly used for long-term control of asthma by relaxing the muscles around the airways to keep them open, making breathing easier. Albuterol (choice A) is a short-acting bronchodilator for quick relief of asthma symptoms, not for long-term control. Ipratropium (choice C) is another short-acting bronchodilator that helps open the airways but is not typically used for long-term control. Prednisone (choice D) is a corticosteroid usually used for short periods to control asthma exacerbations or flare-ups, not as a long-term control medication.

5. How should a caregiver manage a child with a new diagnosis of sickle cell anemia?

• A. Ensure the child receives frequent blood transfusions
• B. Promote adequate hydration and pain management
• C. Restrict physical activity
• D. Administer high doses of vitamin C

Correct answer: B

Rationale: Promoting adequate hydration and pain management is crucial for managing sickle cell anemia to prevent crises and complications. Adequate hydration helps prevent sickling of red blood cells, while effective pain management is essential for addressing the frequent pain episodes associated with the condition. Ensuring the child receives frequent blood transfusions is not the initial management for sickle cell anemia; transfusions are usually reserved for specific complications. Restricting physical activity should be individualized based on the child's condition; some physical activity is beneficial for overall health. Administering high doses of vitamin C is not a standard treatment for sickle cell anemia and does not address the underlying pathology of the disease.

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