Nursing Elites

1. What is the primary treatment for a child with an anaphylactic reaction?

• A. Oral antihistamines
• B. Intravenous fluids
• C. Epinephrine injection
• D. Antipyretics

Correct answer: C

Rationale: The correct answer is C: Epinephrine injection. An epinephrine injection is the primary treatment for an anaphylactic reaction in children. Epinephrine acts quickly to reverse severe symptoms such as difficulty breathing, low blood pressure, and hives. Oral antihistamines, although useful for milder allergic reactions, are not sufficient to manage the potentially life-threatening symptoms of anaphylaxis. Intravenous fluids may be necessary to support blood pressure in a child with anaphylaxis but are not the primary treatment. Antipyretics, on the other hand, are medications used to reduce fever and are not indicated as the primary treatment for an anaphylactic reaction.

2. A child develops a strong dislike of noodle soup after consuming a bowl while sick with the flu. Her reaction is an example of a food-related ___.

• A. habit
• B. social interaction
• C. emotional turmoil
• D. negative association

Correct answer: D

Rationale: The correct answer is 'negative association.' A negative association occurs when a person develops a dislike for a food due to a past negative experience, such as getting sick after eating it. In this case, the child's dislike of noodle soup is specifically linked to the negative experience of consuming it while sick with the flu. Choices A, B, and C are incorrect because the situation described does not relate to habit formation, social interactions, or emotional turmoil, but rather to a learned aversion based on a specific negative event.

3. What is the primary goal in managing a child with asthma?

• A. Prevent triggering asthma attacks
• B. Avoid triggering asthma attacks
• C. Administer corticosteroids
• D. Increase physical activity

Correct answer: B

Rationale: The primary goal in managing a child with asthma is to avoid triggering asthma attacks. This involves managing allergens, ensuring proper medication use, and creating an asthma action plan. Choice A is incorrect because the goal is to avoid triggering asthma attacks, not necessarily to prevent recurrent infections. Choice C is incorrect as corticosteroids are a treatment option but not the primary goal of asthma management. Choice D is incorrect because although physical activity is important, the primary goal is to prevent asthma attacks and manage symptoms effectively.

4. How should a healthcare provider address a child's nutritional needs with a lactose intolerance diagnosis?

• A. Recommend lactose-free dairy products
• B. Increase dairy intake
• C. Encourage high-fiber diet
• D. Use oral probiotics only

Correct answer: A

Rationale: In managing lactose intolerance in a child, recommending lactose-free dairy products is crucial. These products help address the child's nutritional needs without causing symptoms related to lactose consumption. Choice B is incorrect because increasing dairy intake would exacerbate symptoms in a lactose-intolerant individual as they cannot digest lactose properly. Choice C, encouraging a high-fiber diet, is not directly related to managing lactose intolerance and may not address the primary issue of lactose malabsorption. Choice D, using oral probiotics only, may not be sufficient to address the child's nutritional needs in case of lactose intolerance as the main concern is avoiding lactose-containing products.

5. What intervention is recommended for a child with severe dehydration?

• A. Oral rehydration therapy
• B. Intravenous fluid replacement
• C. High-protein diet
• D. Increased physical activity

Correct answer: B

Rationale: Intravenous fluid replacement is the recommended intervention for a child with severe dehydration because it allows for rapid restoration of fluid and electrolyte balance. In severe cases, oral rehydration therapy (Choice A) may not be tolerated due to the child's condition. A high-protein diet (Choice C) is not the primary intervention and does not address the immediate fluid and electrolyte imbalance. Increased physical activity (Choice D) is contraindicated in severe dehydration as it can exacerbate fluid loss, making intravenous fluid replacement the most suitable choice for prompt correction of the severe dehydration.

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