Nursing Elites

1. How should the healthcare provider respond to a parent concerned about a child's short stature?

• A. Suggest the parent consult a nutritionist
• B. Recommend frequent growth hormone injections
• C. Advise monitoring for a few years before intervention
• D. Refer for a genetic evaluation

Correct answer: C

Rationale: When a parent expresses concern about a child's short stature, the initial approach should involve advising monitoring for a few years before considering any interventions. This allows for observation of the child's growth pattern and any potential underlying issues. Suggesting a nutritionist (Choice A) may not be necessary if there are no signs of nutritional deficiencies. Recommending growth hormone injections (Choice B) is premature without proper evaluation and diagnosis. Referring for a genetic evaluation (Choice D) can be considered later if monitoring shows atypical growth patterns or other concerning factors.

2. 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.

3. What is the primary treatment for a child with acute otitis media?

• A. Antihistamines
• B. Nasal decongestants
• C. Antibiotics
• D. Ear drops

Correct answer: C

Rationale: The correct answer is C: Antibiotics. Antibiotics are the primary treatment for acute otitis media because the condition is often caused by a bacterial infection. Antihistamines (choice A) and nasal decongestants (choice B) are not the primary treatments for acute otitis media as they do not target the bacterial infection. Ear drops (choice D) are not the primary treatment for acute otitis media; antibiotics are required to treat the underlying bacterial cause.

4. How should a healthcare provider handle a child with a suspected head injury who is showing signs of drowsiness?

• A. Administer pain medication
• B. Perform a full neurological assessment
• C. Allow the child to sleep
• D. Contact a specialist immediately

Correct answer: B

Rationale: When a child with a suspected head injury is showing signs of drowsiness, administering pain medication should not be the first course of action as it may mask important symptoms. Allowing the child to sleep is not recommended as they need to be monitored. Contacting a specialist immediately may delay necessary assessments. Performing a full neurological assessment is the most appropriate action because it helps evaluate the head injury's extent, identify neurological deficits, and guide further intervention or treatment.

5. How should a healthcare professional approach the care of a child with a newly diagnosed type 1 diabetes?

• A. Emphasize the importance of blood glucose monitoring
• B. Avoid insulin therapy
• C. Encourage a high-carbohydrate diet
• D. Recommend alternative therapies only

Correct answer: A

Rationale: Corrected Rationale: Emphasizing the importance of blood glucose monitoring is crucial for managing type 1 diabetes effectively. Monitoring blood glucose levels helps in maintaining optimal control of the condition, adjusting treatment plans as necessary, and preventing complications. Choice B is incorrect because insulin therapy is the mainstay treatment for type 1 diabetes to regulate blood sugar levels. Choice C is incorrect because while diet is important, encouraging a high-carbohydrate diet can lead to fluctuations in blood sugar levels. Choice D is incorrect because alternative therapies should not replace standard medical treatment like insulin therapy in type 1 diabetes management.

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