how should a nurse manage a child with a newly inserted gastrostomy tube
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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 is a common sign of dehydration in a child with diarrhea?

Correct answer: A

Rationale: The correct answer is A: Decreased urine output. When a child with diarrhea is dehydrated, they may have decreased urine output, indicating that their body is conserving fluids. This sign highlights the importance of fluid replacement to prevent worsening dehydration. Choices B, C, and D are incorrect. Increased appetite is not typically associated with dehydration but can be seen in other conditions. Warm, dry skin may be a sign of fever or other skin conditions, not specifically dehydration. Elevated blood pressure is not a common sign of dehydration in a child with diarrhea.

3. How much energy is required to raise the temperature of one kilogram of water by 1°C?

Correct answer: C

Rationale: The correct answer is 1 kilocalorie. This is the amount of energy required to raise the temperature of 1 kilogram of water by 1°C. Choice A (10 calories) and Choice D (10 kilocalories) are incorrect as they do not represent the correct unit of measurement for this specific scenario. Choice B (100 calories) is also incorrect as it overestimates the amount of energy required. The specific heat capacity of water is approximately 1 calorie/gram °C, which means that 1 kilogram (1000 grams) of water requires 1 kilocalorie (1000 calories) to raise its temperature by 1°C.

4. What is one major weakness of a laboratory-based study?

Correct answer: C

Rationale: One major weakness of laboratory-based studies is that results from animal testing cannot always be applied to human beings. This limitation arises due to the inherent biological differences between animals and humans, making the generalization of findings challenging. While costs may be a concern in some cases, they do not represent a universal weakness of laboratory-based studies. Findings in such studies can be replicated to ensure validity, and experimental variables can be effectively controlled in a laboratory setting. Choice C is the correct answer because the translatability of results from animal studies to humans is a significant challenge in laboratory-based research, impacting the direct application of findings to human health and well-being.

5. What does a positive correlation between two variables indicate?

Correct answer: B

Rationale: A positive correlation between two variables indicates that they move in the same direction. This means that as one variable increases (or decreases), the other variable also increases (or decreases). Choice A is incorrect because correlation does not imply causation; it only shows a relationship between variables. Choice C is incorrect as it describes a negative correlation where variables move in opposite directions. Choice D is incorrect as a positive correlation implies a relationship between the variables.

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