Nursing Elites

1. If a group of people consumes an amount of protein equal to the estimated average requirement for their population group, what percentage of people will receive insufficient amounts?

• A. 10
• B. 25
• C. 33
• D. 50

Correct answer: D

Rationale: If a group consumes an amount of protein equal to the estimated average requirement, 50% of the people will receive insufficient amounts. The estimated average requirement is the amount of a nutrient that is estimated to meet the requirement of half the healthy individuals in a particular life stage and gender group. Therefore, 50% of the group will not be meeting their individual needs if they are consuming only the average requirement. Choices A, B, and C are incorrect because at the estimated average requirement level, a higher percentage than those values will receive insufficient amounts.

2. What is a common treatment for a child with a urinary tract infection (UTI)?

• A. Intravenous antibiotics
• B. Oral antibiotics
• C. Increased fluid intake only
• D. Topical antibiotics

Correct answer: B

Rationale: Oral antibiotics are the correct choice for treating a child with a urinary tract infection (UTI). They are often prescribed to effectively address the infection and alleviate symptoms. Intravenous antibiotics (Choice A) are usually reserved for severe cases where oral antibiotics are not feasible or effective. Increased fluid intake (Choice C) can help in flushing out bacteria but is not a standalone treatment for UTIs. Topical antibiotics (Choice D) are not typically used to treat UTIs as they are more suited for skin infections.

3. What is the primary goal in managing a child with cystic fibrosis?

• A. Increase dietary fat intake
• B. Prevent lung infections
• C. Increase physical activity
• D. Ensure high protein intake

Correct answer: B

Rationale: The primary goal in managing a child with cystic fibrosis is to prevent lung infections. Cystic fibrosis primarily affects the respiratory system, leading to thick mucus buildup in the lungs, which increases the risk of infections. Preventing lung infections through proper respiratory care, medications, airway clearance techniques, and vaccinations is crucial in managing cystic fibrosis. While dietary interventions like increasing dietary fat intake, ensuring high protein intake, and promoting physical activity are also important aspects of cystic fibrosis management, preventing lung infections takes precedence as it directly addresses a major complication of the condition.

4. You have been asked to help a top nutrition researcher conduct human experiments on vitamin C. As the subjects walk into the laboratory, you distribute all the vitamin C pill bottles to the girls and all the placebo pill bottles to the boys. What should you have done?

• A. Giving all the boys the vitamin C and the girls the placebo, and telling them what they were getting.
• B. Distributing the bottles randomly, randomizing the subjects, and telling them what they were getting.
• C. Telling the subjects which group they were in, but preventing yourself from knowing the contents of the pill bottles.
• D. Preventing yourself from knowing what is in the pill bottles, and distributing the bottles randomly to the subjects.

Correct answer: D

Rationale: The correct approach in a scientific experiment is to prevent yourself from knowing the contents of the pill bottles and distribute them randomly to the subjects. This randomization helps to avoid bias and ensures that the results are not influenced by preconceived notions. Option A is incorrect because it introduces gender bias by assigning pills based on gender. Option B is incorrect as it mentions telling the subjects what they are getting, which could lead to placebo effects. Option C is incorrect as it suggests disclosing group information to the subjects, which can also introduce bias.

5. How should a caregiver manage a child with a new diagnosis of sickle cell anemia?

• A. Ensure the child receives frequent blood transfusions
• B. Promote adequate hydration and pain management
• C. Restrict physical activity
• D. Administer high doses of vitamin C

Correct answer: B

Rationale: Promoting adequate hydration and pain management is crucial for managing sickle cell anemia to prevent crises and complications. Adequate hydration helps prevent sickling of red blood cells, while effective pain management is essential for addressing the frequent pain episodes associated with the condition. Ensuring the child receives frequent blood transfusions is not the initial management for sickle cell anemia; transfusions are usually reserved for specific complications. Restricting physical activity should be individualized based on the child's condition; some physical activity is beneficial for overall health. Administering high doses of vitamin C is not a standard treatment for sickle cell anemia and does not address the underlying pathology of the disease.

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