what is the primary symptom of a urinary tract infection in young children
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HESI PN Nutrition Practice Exam

1. What is the primary symptom of a urinary tract infection in young children?

Correct answer: D

Rationale: The correct answer is D, Fever. In young children, fever is a common primary symptom of a urinary tract infection, often accompanied by irritability and discomfort. Frequent urination (Choice A) is a symptom more commonly seen in adults with UTIs. While abdominal pain (Choice B) and vomiting (Choice C) can be present, they are not as primary as fever in young children with UTIs.

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

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.

3. Which of the following is an example of a macronutrient?

Correct answer: D

Rationale: The correct answer is D: Fiber. Macronutrients are nutrients required by the body in larger amounts, and they include carbohydrates, proteins, and fats. Fiber is a type of carbohydrate that falls under this category. Vitamin C (choice A) is a water-soluble vitamin, Iron (choice B) is a mineral, and Calcium (choice C) is also a mineral, not a macronutrient. Therefore, Fiber is the only macronutrient listed in the choices.

4. What is a primary intervention for a child with a suspected respiratory infection?

Correct answer: B

Rationale: Increasing fluid intake and rest is a primary intervention for a child with a suspected respiratory infection because it helps support the body’s recovery and maintains hydration levels. Antiviral medications (Choice A) are only used for specific viral infections and are not routinely recommended for suspected respiratory infections. Restricting physical activity (Choice C) may be necessary in certain cases to prevent overexertion, but it is not a primary intervention. Providing high-dose vitamin supplements (Choice D) may support the immune system in general but is not a primary intervention for a suspected respiratory infection.

5. What is a common sign of hypothyroidism in children?

Correct answer: C

Rationale: Dry skin and constipation are typical signs of hypothyroidism in children. Hypothyroidism results from an underactive thyroid gland, leading to symptoms such as dry skin and constipation. Weight loss (Choice A) is more commonly associated with hyperthyroidism, where the thyroid gland is overactive. Increased heart rate (Choice B) and elevated blood pressure (Choice D) are also more characteristic of hyperthyroidism rather than hypothyroidism. Therefore, the correct answer is dry skin and constipation (Choice C) when identifying signs of hypothyroidism in children.

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