Nursing Elites

1. Why must a child with acute laryngotracheobronchitis be kept NPO?

• A. The epinephrine administration may cause nausea and vomiting
• B. The child is being hydrated with IV fluids
• C. The child may not feel hungry
• D. Rapid respirations pose a risk for aspiration

Correct answer: D

Rationale: In acute laryngotracheobronchitis, rapid respirations increase the risk of aspiration due to compromised airway protection and potential for secretions to enter the lungs. Keeping the child NPO helps prevent the risk of aspiration pneumonia. Choice A is incorrect because epinephrine is not typically used for laryngotracheobronchitis. Choice B is incorrect as hydration with IV fluids does not eliminate the risk of aspiration. Choice C is also incorrect because the child being hungry is not the primary reason for keeping them NPO in this condition.

2. How should a healthcare provider approach the care of a child with juvenile idiopathic arthritis (JIA)?

• A. Promote weight maintenance
• B. Encourage joint mobility exercises
• C. Avoid physical inactivity
• D. Ensure a balanced diet

Correct answer: B

Rationale: Encouraging joint mobility exercises is the appropriate approach to caring for a child with juvenile idiopathic arthritis (JIA). These exercises help maintain joint function and reduce stiffness, which are crucial in managing the condition. Choices A, C, and D are incorrect. Promoting weight maintenance is more relevant than weight gain as maintaining a healthy weight is important in managing JIA. Avoiding physical inactivity is not recommended as controlled and appropriate physical activities can help improve joint flexibility and overall health. Ensuring a balanced diet, which includes adequate protein, is important for overall nutrition but is not a specific intervention for managing JIA.

3. Which of the following best describes the purpose of dietary guidelines?

• A. To ensure food safety and sanitation.
• B. To promote overall health and reduce the risk of chronic diseases.
• C. To prevent foodborne illnesses.
• D. To provide recommendations for physical activity.

Correct answer: B

Rationale: The correct answer is B: 'To promote overall health and reduce the risk of chronic diseases.' Dietary guidelines aim to improve public health by providing recommendations on dietary patterns and nutrient intake. While ensuring food safety and sanitation (choice A) is important, it is not the primary purpose of dietary guidelines. Preventing foodborne illnesses (choice C) is more related to food safety practices rather than dietary guidelines. Recommendations for physical activity (choice D) are important for overall health but are separate from dietary guidelines, which primarily focus on nutrition.

4. Why would a person who eats a bowl of oatmeal for breakfast every day most likely be making a food choice based on ___?

• A. habit
• B. availability
• C. body image
• D. environmental concerns

Correct answer: A

Rationale: The correct answer is A: habit. Eating the same food regularly often stems from habit, which is a behavior that is repeated regularly and tends to occur subconsciously. Choice B, availability, is incorrect as it refers to the accessibility of a particular food rather than the frequency of consumption. Choice C, body image, is also incorrect as this term relates to how one perceives their own body rather than their food choices. Choice D, environmental concerns, is unrelated to the scenario provided, which is about the frequency of choosing oatmeal for breakfast.

5. What is a key aspect of care for a child with an indwelling urinary catheter?

• A. Increase fluid intake
• B. Monitor for signs of infection
• C. Restrict mobility
• D. Administer daily antibiotics

Correct answer: B

Rationale: Monitoring for signs of infection is crucial when caring for a child with an indwelling urinary catheter. This is because catheter-associated urinary tract infections are common in such cases. Increasing fluid intake can be beneficial, but monitoring for infection takes precedence as it is crucial to prevent complications. Restricting mobility is not a key aspect of care for a child with an indwelling urinary catheter unless specifically advised by a healthcare provider. Administering daily antibiotics without proper assessment and indication can lead to antibiotic resistance and is not a standard practice in caring for a child with an indwelling urinary catheter.

Similar Questions