Nursing Elites

1. After surgical repair of a cleft palate, what should be used to prevent injury to the suture line?

• A. Straw
• B. Spoon
• C. Syringe
• D. Cup

Correct answer: C

Rationale: The correct answer is C: Syringe. Using a syringe helps in feeding without causing injury to the suture line after cleft palate repair because it avoids direct contact with the suture area. Straws and spoons can potentially put pressure on the suture line, leading to injury. Cups may not provide the necessary control to prevent contact with the suture line, unlike a syringe.

2. Which individual is making a food choice based on negative association?

• A. A tourist from China who rejects a hamburger due to unfamiliarity
• B. A child who spits out his mashed potatoes because they taste too salty
• C. A teenager who grudgingly accepts an offer for an ice cream cone to avoid offending a close friend
• D. An elderly gentleman who refuses a peanut butter and jelly sandwich because he considers it a child's food

Correct answer: D

Rationale: Choice D is the correct answer because the elderly gentleman is refusing the peanut butter and jelly sandwich due to his negative association of considering it a child's food. This negative association influences his food choice. Choices A, B, and C do not involve negative associations with the food being consumed. Choice A is based on unfamiliarity, Choice B is due to taste preference, and Choice C is driven by social considerations rather than negative food association.

3. What is a key intervention for a child with a new diagnosis of type 1 diabetes?

• A. Insulin administration
• B. Increased dietary fat intake
• C. Restricted fluid intake
• D. Routine physical examinations only

Correct answer: A

Rationale: The correct answer is A: Insulin administration. When a child is diagnosed with type 1 diabetes, insulin administration is a crucial intervention. Insulin helps regulate blood glucose levels by enabling cells to take in glucose from the bloodstream. Without sufficient insulin, blood glucose levels can become dangerously high, leading to various complications. Increased dietary fat intake (choice B) is not a recommended intervention for type 1 diabetes management, as it can contribute to weight gain and other health issues. Restricted fluid intake (choice C) is also not appropriate, as adequate hydration is essential for overall health. Routine physical examinations (choice D) are important but are not the primary intervention needed to manage type 1 diabetes.

4. What is the recommended first step in the management of a child with a suspected head injury?

• A. Administer pain medication
• B. Assess the child's level of consciousness
• C. Perform a CT scan
• D. Monitor for seizures

Correct answer: B

Rationale: The correct first step in managing a child with a suspected head injury is to assess the child's level of consciousness. This assessment is crucial as it helps determine the severity of the injury and guides further management. Administering pain medication (Choice A) should not be done before assessing the level of consciousness. Performing a CT scan (Choice C) may be necessary but is not the initial step. Monitoring for seizures (Choice D) is important but comes after assessing the child's level of consciousness.

5. What is the priority assessment for a child with suspected appendicitis?

• A. Temperature
• B. Heart rate
• C. Respiratory rate
• D. Pain level

Correct answer: D

Rationale: The priority assessment for a child with suspected appendicitis is 'Pain level.' Evaluating the pain level, particularly in the lower right quadrant, is crucial as it helps in determining the severity of the condition, leading to prompt diagnosis and treatment. Monitoring temperature, heart rate, and respiratory rate are important aspects of assessment; however, they are secondary to assessing the pain level in cases of suspected appendicitis. Pain assessment is key in diagnosing this condition since the classic presentation includes abdominal pain that often starts around the umbilicus and then localizes to the right lower quadrant.

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