Nursing Elites

1. 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.

2. What is the main purpose of Recommended Dietary Allowances (RDAs)?

• A. To provide guidelines for nutrient intakes that meet the needs of most healthy people.
• B. To specify the minimum amount of nutrients required for survival.
• C. To establish maximum safe levels of nutrient intakes.
• D. To recommend specific nutrient intake levels to prevent chronic diseases.

Correct answer: A

Rationale: The main purpose of Recommended Dietary Allowances (RDAs) is to provide guidelines for nutrient intakes that meet the needs of most healthy people. Choice B is incorrect because RDAs aim beyond just survival requirements. Choice C is incorrect because establishing maximum safe levels is the role of Tolerable Upper Intake Levels (ULs). Choice D is incorrect because preventing chronic diseases is more associated with Dietary Reference Intakes (DRIs) like Adequate Intakes (AIs) and Tolerable Upper Intake Levels (ULs). Therefore, the correct answer is A.

3. How should a healthcare provider address concerns about a child’s developmental milestones?

• A. Recommend delaying intervention until school age
• B. Provide resources for early intervention services
• C. Suggest dietary changes
• D. Avoid further assessment

Correct answer: B

Rationale: Correct Answer: Providing resources for early intervention services is crucial for addressing developmental concerns and supporting the child's growth and development. Early intervention is key to improving outcomes. Recommending delaying intervention until school age (Choice A) is not advised as addressing issues early leads to better results. Suggesting dietary changes (Choice C) is not the primary approach to addressing developmental milestones. Avoiding further assessment (Choice D) can impede the timely identification and management of developmental delays.

4. Farah is viewing an exciting sports match of her favorite team and eating because of nervousness. Her food choice will most likely be based on ___.

• A. regional cuisines
• B. preferences
• C. emotional comfort
• D. positive association

Correct answer: C

Rationale: During stressful situations like watching an exciting sports match, individuals often seek emotional comfort through food. This emotional connection can lead Farah to choose foods that provide comfort or familiarity rather than being based on regional cuisines (choice A), general preferences (choice B), or positive associations (choice D). Farah's food choice is likely driven by the need for emotional comfort to alleviate her nervousness, making option C the most suitable answer.

5. How should the nurse manage a child with acute lymphoblastic leukemia (ALL) who is receiving chemotherapy?

• A. Avoid all physical activity
• B. Ensure strict infection control measures
• C. Increase daily caloric intake
• D. Limit fluid intake

Correct answer: B

Rationale: The correct answer is B: Ensure strict infection control measures. Children with acute lymphoblastic leukemia (ALL) who are undergoing chemotherapy have compromised immune systems, making them highly susceptible to infections. Implementing strict infection control measures, such as hand hygiene, limiting exposure to sick individuals, and maintaining a clean environment, is essential to prevent infections. Choice A is incorrect because avoiding all physical activity may not be necessary as long as the child's activity level is appropriate. Choice C is incorrect because increasing daily caloric intake is important to support the child's nutritional needs during treatment. Choice D is incorrect because limiting fluid intake is not typically recommended unless specifically advised by the healthcare provider.

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