Nursing Elites

1. What should be a priority for a 4-year-old child with nephrosis?

• A. Impaired body image
• B. Skin impairment
• C. Nutritional deficit
• D. Injury

Correct answer: B

Rationale: The correct answer is B: Skin impairment. Skin care is a priority in nephrosis due to edema and increased risk of skin breakdown, requiring careful monitoring and management. While impaired body image (Choice A) can be a concern, it is not typically a priority in a 4-year-old with nephrosis. Nutritional deficit (Choice C) is important but addressing skin impairment takes precedence due to the immediate risk of complications related to skin breakdown. Injury (Choice D) is a general concern for children but is not the priority in a child with nephrosis.

2. What is an important dietary consideration for a child with celiac disease?

• A. Increased iron intake
• B. Gluten-free diet
• C. High-protein diet
• D. Low-sodium diet

Correct answer: B

Rationale: A gluten-free diet is crucial for managing celiac disease in children because it helps prevent intestinal damage and alleviate symptoms. Gluten is a protein found in wheat, barley, and rye, and it triggers an immune response in individuals with celiac disease, damaging the lining of the small intestine. Therefore, choices A, C, and D are incorrect. While iron intake is important for overall health, a child with celiac disease can still meet their iron needs through sources that are naturally gluten-free or fortified. A high-protein diet or a low-sodium diet are not specifically required for managing celiac disease.

3. What is a common symptom of a respiratory infection in infants?

• A. Wheezing
• B. High appetite
• C. Increased thirst
• D. Lethargy

Correct answer: A

Rationale: Wheezing is a common symptom of respiratory infections in infants, often associated with coughing and difficulty breathing. It occurs due to the narrowing of the airways. Choice B, 'High appetite,' is incorrect as respiratory infections usually lead to a decrease in appetite rather than an increase. Choice C, 'Increased thirst,' is incorrect as it is not a typical symptom of a respiratory infection in infants. Choice D, 'Lethargy,' can be a symptom of respiratory infections but is not as specific and common as wheezing.

4. What is a key intervention for a child with a new diagnosis of asthma?

• A. Provide a peak flow meter
• B. Limit all physical activity
• C. Increase dairy consumption
• D. Recommend frequent use of nasal decongestants

Correct answer: A

Rationale: The correct answer is A: Provide a peak flow meter. Providing a peak flow meter is crucial for a child with a new diagnosis of asthma as it helps monitor asthma control and manage symptoms by tracking changes in airflow. This device assists in assessing how well the lungs are functioning and guides treatment decisions. Limiting all physical activity (choice B) is not recommended as regular exercise can actually help improve lung function in asthmatic children. Increasing dairy consumption (choice C) is not a key intervention for asthma, and recommending frequent use of nasal decongestants (choice D) is not suitable for asthma management in children.

5. How should a healthcare professional handle a child with a new diagnosis of type 2 diabetes?

• A. Focus on increasing physical activity and dietary management
• B. Initiate insulin therapy immediately
• C. Limit all carbohydrate intake
• D. Recommend frequent fasting

Correct answer: A

Rationale: In managing type 2 diabetes in a child, focusing on increasing physical activity and dietary management is crucial, especially in the initial treatment phase. This approach helps improve insulin sensitivity and overall glycemic control. Initiating insulin therapy immediately is not the first-line treatment for type 2 diabetes in children. Limiting all carbohydrate intake is not advisable as carbohydrates are essential for providing energy and nutrients. Recommending frequent fasting can be harmful and is not a recommended strategy for managing type 2 diabetes in children.

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