Nursing Elites

1. How should a healthcare provider manage a child with newly diagnosed congenital hypothyroidism?

• A. Monitor for signs of hyperactivity
• B. Ensure regular thyroid hormone replacement therapy
• C. Encourage a high-calcium diet
• D. Increase physical exercise

Correct answer: B

Rationale: Correct Answer: Ensuring regular thyroid hormone replacement therapy is crucial for managing congenital hypothyroidism in children. This therapy supports normal growth and development by replacing the deficient thyroid hormones. Monitoring for signs of hyperactivity (Choice A) is not the primary management for congenital hypothyroidism; rather, the focus should be on addressing the hormone deficiency. Encouraging a high-calcium diet (Choice C) may not directly address the thyroid hormone deficiency characteristic of congenital hypothyroidism. Increasing physical exercise (Choice D) is not the mainstay treatment for this condition; hormone replacement therapy is the cornerstone of management.

2. What is the result of the metabolism of energy nutrients?

• A. Energy is released.
• B. Body fat increases.
• C. Energy is destroyed.
• D. Body water decreases.

Correct answer: A

Rationale: The correct answer is A. Energy is released during the metabolism of energy nutrients. This released energy is utilized by the body for various functions. Choice B is incorrect because the metabolism of energy nutrients does not directly result in an increase in body fat. Choice C is incorrect as energy is not destroyed but rather transformed and utilized by the body. Choice D is incorrect as the metabolism of energy nutrients does not lead to a decrease in body water.

3. What is one function of water in the human body?

• A. Water provides calories for energy.
• B. Water helps transport nutrients and waste products.
• C. Water acts as a solvent for many biological reactions.
• D. Water maintains body temperature.

Correct answer: B

Rationale: The correct answer is B: Water helps transport nutrients and waste products. Water plays a crucial role in the body by aiding in the transportation of essential nutrients to cells and removing waste products. While water is essential for various metabolic processes, it does not provide calories for energy (choice A). Although water can act as a solvent for biological reactions (choice C), its primary function is not as a solvent. Additionally, while water does help in regulating body temperature to some extent, its main role is not to maintain body temperature (choice D).

4. How should one manage a child with an allergy to multiple food items?

• A. Avoid all identified allergens
• B. Increase dietary exposure to allergens
• C. Administer daily antihistamines
• D. Restrict all food intake

Correct answer: A

Rationale: When managing a child with an allergy to multiple food items, the most appropriate approach is to avoid all identified allergens. This is crucial to prevent allergic reactions and ensure the child's safety. Choice B, increasing dietary exposure to allergens, is incorrect as it can lead to severe allergic reactions. Choice C, administering daily antihistamines, may help manage symptoms but does not address the root cause, which is avoiding allergens. Choice D, restricting all food intake, is not a viable option as it can lead to malnutrition and other health issues.

5. How should a healthcare professional respond to a parent concerned about their child's weight gain?

• A. Provide guidance on healthy eating and physical activity
• B. Suggest restrictive dieting
• C. Recommend increased caloric intake
• D. Avoid discussing the issue

Correct answer: A

Rationale: When a parent expresses concern about their child's weight gain, the most appropriate response is to provide guidance on healthy eating and physical activity. This approach promotes healthy weight management and overall well-being. Suggesting restrictive dieting (Choice B) can be harmful, especially for children, as it may lead to unhealthy relationships with food and potential nutritional deficiencies. Recommending increased caloric intake (Choice C) without proper assessment and guidance can exacerbate the issue. Avoiding discussing the issue (Choice D) neglects a critical opportunity to address the parent's concerns and support the child's health.

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