how should a nurse manage a child with a newly inserted gastrostomy tube
Logo

Nursing Elites

HESI LPN

Nutrition Final Exam

1. How should a healthcare professional manage a child with a newly inserted gastrostomy tube?

Correct answer: A

Rationale: Monitoring for signs of infection at the gastrostomy site is crucial for ensuring proper care and preventing complications. This involves observing for redness, swelling, warmth, or drainage around the insertion site. Increasing the child's fluid intake (Choice B) may be beneficial for hydration but is not specifically related to managing a newly inserted gastrostomy tube. Restricting all oral intake (Choice C) is not necessary as long as the healthcare professional follows the recommended guidelines for feeding. While using sterile equipment for feedings (Choice D) is important, monitoring for signs of infection takes precedence in the immediate post-insertion period.

2. What should be monitored closely in a child receiving chemotherapy?

Correct answer: B

Rationale: The correct answer is B: White blood cell count. During chemotherapy, it is crucial to monitor the white blood cell count closely to detect potential neutropenia (low white blood cell count) and the associated risk of infections. Monitoring blood glucose levels (Choice A) is important for diabetic management and not directly related to chemotherapy. Blood pressure (Choice C) and heart rate (Choice D) are essential vital signs to monitor but are not the primary focus when monitoring a child receiving chemotherapy.

3. Before publication in a reputable journal, the findings of a research study must undergo scrutiny by experts in the field in a process known as what?

Correct answer: A

Rationale: The correct answer is A: peer review. Before publication, research findings must undergo peer review, where experts in the field evaluate the validity and significance of the study. Choice B, cohort review, is incorrect as it does not involve the same level of evaluation by experts. Choice C, research intervention, is not a term used to describe the evaluation process before publication. Choice D, double-blind examination, refers to a study design where neither the participants nor the researchers know who is receiving a particular treatment, which is not the same as the peer review process.

4. Non-nutrient substances found in plant foods that may demonstrate biological activity in the body are commonly known as ___

Correct answer: C

Rationale: Phytochemicals are bioactive compounds found in plant foods that may affect health. They are known for their potential health benefits, such as antioxidant and anti-inflammatory properties. Choices A, B, and D are incorrect. 'Bioenhancements' is not a term used to describe non-nutrient substances in plant foods. 'Inorganic fibers' do not refer to bioactive compounds found in plants. 'Phytoactive chemicals' is not a commonly used term in nutrition science to describe these compounds.

5. How should a caregiver manage a child with a known allergy to peanuts?

Correct answer: A

Rationale: Avoiding peanut-containing products is crucial for managing a peanut allergy and preventing allergic reactions. Choice B suggesting regular exposure to peanuts can be harmful and trigger severe allergic reactions in a child with a peanut allergy. Regular exposure can increase the risk of anaphylaxis. Choice C of administering antihistamines daily is not a primary prevention strategy and should not be the first-line approach for managing a peanut allergy. Antihistamines only treat symptoms and do not prevent the allergic reaction. Choice D of recommending peanut-containing supplements can also lead to severe allergic reactions and is not recommended for a child with a known peanut allergy. It is essential to eliminate all sources of peanuts to prevent accidental exposure and potential life-threatening reactions.

Similar Questions

What should be assessed in a child with suspected appendicitis?
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?
How should a healthcare professional address the concerns of parents about their child’s developmental delay?
What is the priority assessment for a child with suspected appendicitis?
Food energy is commonly expressed in kilocalories and in what other unit?

Access More Features

HESI LPN Basic
$69.99/ 30 days

  • 5,000 Questions with answers
  • All HESI courses Coverage
  • 30 days access

HESI LPN Premium
$149.99/ 90 days

  • 5,000 Questions with answers
  • All HESI courses Coverage
  • 30 days access

Other Courses