Nursing Elites

1. What will the treatment for a newly admitted child with cystic fibrosis center on?

• A. Chest physiotherapy
• B. Mucus-drying agents
• C. Prevention of diarrhea
• D. Insulin therapy

Correct answer: A

Rationale: The correct answer is A: Chest physiotherapy. Treatment for cystic fibrosis focuses on chest physiotherapy and aerosol medications to manage and clear thick pulmonary secretions. Chest physiotherapy helps loosen and clear mucus from the lungs, aiding in breathing and reducing the risk of infections. Mucus-drying agents (choice B) are not typically used in the treatment of cystic fibrosis as the goal is to help clear mucus, not dry it. Prevention of diarrhea (choice C) is not a primary focus in the treatment of cystic fibrosis. Insulin therapy (choice D) is not relevant to cystic fibrosis, which primarily affects the respiratory and digestive systems.

2. How should a healthcare provider handle a child with a suspected head injury who is showing signs of drowsiness?

• A. Administer pain medication
• B. Perform a full neurological assessment
• C. Allow the child to sleep
• D. Contact a specialist immediately

Correct answer: B

Rationale: When a child with a suspected head injury is showing signs of drowsiness, administering pain medication should not be the first course of action as it may mask important symptoms. Allowing the child to sleep is not recommended as they need to be monitored. Contacting a specialist immediately may delay necessary assessments. Performing a full neurological assessment is the most appropriate action because it helps evaluate the head injury's extent, identify neurological deficits, and guide further intervention or treatment.

3. What is a crucial aspect of managing a child with cystic fibrosis?

• A. High-sugar diet
• B. Daily chest physiotherapy
• C. Frequent use of antacids
• D. Limiting fluid intake

Correct answer: B

Rationale: Daily chest physiotherapy is crucial in managing cystic fibrosis as it helps clear mucus from the lungs, improves respiratory function, and reduces the risk of lung infections. High-sugar diets are not recommended for individuals with cystic fibrosis as they can contribute to mucus production, exacerbating respiratory issues. Frequent use of antacids is not a primary treatment for cystic fibrosis, as it does not address the underlying lung issues. Limiting fluid intake is not typically advised for individuals with cystic fibrosis, as adequate hydration is essential for maintaining lung function and thinning mucus secretions.

4. 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.

5. What is the first-line treatment for a child with a bacterial ear infection?

• A. Intravenous antibiotics
• B. Oral antibiotics
• C. Nasal decongestants
• D. Antihistamines

Correct answer: B

Rationale: The correct answer is B: Oral antibiotics. Oral antibiotics are the first-line treatment for bacterial ear infections in children as they effectively target the infection at the source and help alleviate symptoms. Intravenous antibiotics (Choice A) are typically reserved for severe cases where oral antibiotics are not sufficient. Nasal decongestants (Choice C) and antihistamines (Choice D) are not the primary treatments for bacterial ear infections. Nasal decongestants are used for nasal congestion, and antihistamines are used for allergies. However, these medications do not directly address the bacterial infection in the ear, unlike oral antibiotics.

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