Nursing Elites

1. What type of vaccine should a child with a history of severe allergic reactions receive?

• A. Live attenuated vaccines
• B. Inactivated vaccines
• C. Subunit vaccines
• D. Recombinant vaccines

Correct answer: B

Rationale: Children with a history of severe allergic reactions should receive inactivated vaccines because they do not contain live pathogens. Live attenuated vaccines (choice A) contain weakened live pathogens and can potentially trigger an allergic reaction in sensitive individuals. Subunit vaccines (choice C) and recombinant vaccines (choice D) may contain components that could still trigger an allergic response in individuals with a history of severe allergies. Inactivated vaccines are the safest choice for individuals with a history of severe allergic reactions as they do not pose a risk of causing an allergic reaction due to the absence of live pathogens.

2. What is an important consideration when administering medications to a child with hepatic dysfunction?

• A. Increased dosing intervals
• B. Adjustments in dosage due to altered metabolism
• C. Avoid all medications
• D. Use only topical medications

Correct answer: B

Rationale: When administering medications to a child with hepatic dysfunction, it is crucial to make adjustments in dosage due to altered metabolism. Hepatic dysfunction can affect the way medications are metabolized in the body, potentially leading to drug toxicity or reduced effectiveness. This is why adjusting the dosage is essential to ensure the medication is both safe and efficient. Choices A, C, and D are incorrect because increasing dosing intervals, avoiding all medications, or using only topical medications do not address the specific issue of altered drug metabolism in hepatic dysfunction.

3. What is the primary treatment for a child with acute otitis media?

• A. Antihistamines
• B. Nasal decongestants
• C. Antibiotics
• D. Ear drops

Correct answer: C

Rationale: The correct answer is C: Antibiotics. Antibiotics are the primary treatment for acute otitis media because the condition is often caused by a bacterial infection. Antihistamines (choice A) and nasal decongestants (choice B) are not the primary treatments for acute otitis media as they do not target the bacterial infection. Ear drops (choice D) are not the primary treatment for acute otitis media; antibiotics are required to treat the underlying bacterial cause.

4. What is an important consideration when caring for a child with epilepsy?

• A. Adherence to prescribed anticonvulsant medication
• B. Avoiding all forms of exercise
• C. Limiting social interactions
• D. Increasing dietary caffeine intake

Correct answer: A

Rationale: Adherence to prescribed anticonvulsant medication is crucial when caring for a child with epilepsy. It is essential for managing the condition effectively and reducing the frequency of seizures. Choice B is incorrect because exercise, when done safely and under supervision, can be beneficial for children with epilepsy by promoting overall health. Choice C is incorrect as social interactions are important for the child's emotional well-being and should not be limited. Choice D is incorrect as increasing dietary caffeine intake can potentially trigger seizures in some individuals with epilepsy.

5. What is a primary goal of managing diabetes mellitus in children?

• A. Promote weight maintenance
• B. Prevent episodes of hypoglycemia
• C. Ensure normal growth and development
• D. Optimize blood sugar control

Correct answer: C

Rationale: The primary goal of managing diabetes mellitus in children is to ensure normal growth and development. This involves maintaining stable blood glucose levels to prevent complications. Option A is incorrect because promoting weight gain is not a primary goal in managing diabetes; rather, the aim is to maintain a healthy weight. Option B is not the primary goal; although it is important to prevent episodes of hypoglycemia, the main focus is on overall management. Option D is incorrect as optimizing blood sugar control is a means to achieve the primary goal, which is ensuring normal growth and development.

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