Nursing Elites

1. Which nutrient is an organic compound?

• A. salt
• B. water
• C. calcium
• D. vitamin C

Correct answer: D

Rationale: Vitamin C is the correct answer because it is an organic compound containing carbon, which is a defining characteristic of organic compounds. Salt (choice A), water (choice B), and calcium (choice C) are inorganic compounds that do not contain carbon. Inorganic compounds are typically lacking carbon-hydrogen bonds, unlike organic compounds. Therefore, choices A, B, and C are incorrect in the context of being organic compounds.

2. How should a healthcare provider respond to a parent concerned about their child's sleep pattern?

• A. Recommend a sleep study
• B. Suggest increasing daytime naps
• C. Provide education on sleep hygiene
• D. Advise on medication use

Correct answer: C

Rationale: When a parent expresses concerns about their child's sleep pattern, providing education on sleep hygiene is a beneficial response. Teaching parents about establishing a consistent sleep routine, creating a conducive sleep environment, and promoting healthy sleep habits can help address the child's sleep issues. This empowers the parent to make positive changes that can improve the child's sleep patterns. Recommending a sleep study (Choice A) may be premature and unnecessary without first addressing basic sleep hygiene. Suggesting increasing daytime naps (Choice B) may not always be appropriate and could further disrupt the child's nighttime sleep. Advising on medication use (Choice D) should be considered only after other non-pharmacological approaches have been tried and if deemed necessary by a healthcare provider.

3. How should a healthcare professional address the concerns of parents about their child’s developmental delay?

• A. Recommend immediate diagnostic testing
• B. Suggest waiting for natural development
• C. Provide information about early intervention services
• D. Advise on increasing physical activity

Correct answer: C

Rationale: When addressing concerns about a child's developmental delay, providing information about early intervention services is crucial as it can facilitate timely support and resources. This option helps parents understand the available support systems and interventions for their child. Recommending immediate diagnostic testing may cause unnecessary anxiety without first exploring other supportive options. Suggesting waiting for natural development could result in missed opportunities for early intervention that are crucial for improving developmental outcomes. Advising on increasing physical activity is not directly related to addressing developmental delays and does not address the core issue of developmental delay.

4. How should a healthcare professional manage a child with a newly inserted central venous catheter?

• A. Monitor for signs of infection
• B. Restrict all physical activity
• C. Administer routine antibiotics
• D. Increase fluid intake only

Correct answer: A

Rationale: Monitoring for signs of infection is crucial in managing a central venous catheter to prevent complications. This involves observing for redness, swelling, warmth, or drainage at the catheter site, as these can indicate an infection. Restricting physical activity unnecessarily (choice B) can hinder the child's recovery and quality of life. Administering routine antibiotics (choice C) without a confirmed infection can lead to antibiotic resistance and unnecessary side effects. Increasing fluid intake only (choice D) is not the primary intervention for managing a central venous catheter.

5. 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.

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