Nursing Elites

1. What should be included in the medical management of a sickle cell crisis?

• A. Information for parents on home care
• B. Adequate hydration and pain management
• C. Pain management and iron supplements
• D. Adequate oxygenation and factor VIII

Correct answer: B

Rationale: The correct answer is B: Adequate hydration and pain management. During a sickle cell crisis, it is essential to provide hydration to prevent vaso-occlusive events and manage pain effectively with analgesics. Adequate hydration helps maintain blood flow and prevent further sickling of red blood cells. Pain management is crucial to alleviate the severe pain associated with sickle cell crises. Options A, C, and D are incorrect. Providing information for parents on home care (Option A) may be important for ongoing management but is not specific to an acute crisis. Iron supplements (Option C) are not typically indicated during a sickle cell crisis. Adequate oxygenation and factor VIII (Option D) are not primary interventions for managing a sickle cell crisis; instead, oxygen therapy may be considered in severe cases, and factor VIII is not a standard treatment for sickle cell disease.

2. What should the nurse anticipate as challenging in caring for a child with acute glomerulonephritis?

• A. Forced fluids
• B. Increased feedings
• C. Bed rest
• D. Frequent position changes

Correct answer: C

Rationale: The correct answer is C: Bed rest. Implementing bed rest can be challenging, especially in active children, but it's necessary to manage the symptoms of acute glomerulonephritis. Forced fluids (choice A) may be required to maintain hydration but are not typically challenging. Increased feedings (choice B) and frequent position changes (choice D) are not primary interventions in the care of a child with acute glomerulonephritis.

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. Which of the following statements about nutrition is true?

• A. Nutrition is the only factor that influences health.
• B. Nutrient needs are the same for everyone.
• C. Certain nutrients are more important than others.
• D. Nutrient recommendations are designed to meet the needs of most healthy people.

Correct answer: D

Rationale: The correct answer is D. Nutrient recommendations are designed to meet the needs of most healthy people, providing guidelines for a balanced diet. Choice A is incorrect because while nutrition plays a crucial role in health, it is not the only factor influencing it. Choice B is incorrect as nutrient needs vary based on factors like age, gender, activity level, and health status. Choice C is incorrect because all nutrients are essential for different bodily functions, and none can be deemed universally more important than others.

5. Food energy is commonly expressed in kilocalories and in what other unit?

• A. kilojoules
• B. kilograms
• C. kilometers
• D. kilonewtons

Correct answer: A

Rationale: Food energy is commonly expressed in kilocalories and kilojoules. Kilocalories and kilojoules are both units of energy commonly used to measure the energy content of food. Kilograms, kilometers, and kilonewtons are units of mass, distance, and force, respectively, and are not used to express food energy.

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