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 a common treatment for a child with iron-deficiency anemia?

• A. Iron supplements
• B. High-protein diet
• C. Vitamin B12 injections
• D. Sodium chloride solution

Correct answer: A

Rationale: Iron supplements are the correct choice for treating iron-deficiency anemia in children. Iron supplements help replenish the low iron levels in the body, addressing the underlying cause of the anemia. High-protein diets may be beneficial for overall health but are not the primary treatment for iron-deficiency anemia. Vitamin B12 injections are used to treat B12 deficiency anemia, a different type of anemia. Sodium chloride solution is not a treatment for anemia and is typically used for hydration purposes.

3. What is an important consideration when caring for a child with epilepsy?

• A. Adherence to prescribed anticonvulsant medication
• B. Avoiding all forms of exercise
• C. Limiting social interactions
• D. Increasing dietary caffeine intake

Correct answer: A

Rationale: Adherence to prescribed anticonvulsant medication is crucial when caring for a child with epilepsy. It is essential for managing the condition effectively and reducing the frequency of seizures. Choice B is incorrect because exercise, when done safely and under supervision, can be beneficial for children with epilepsy by promoting overall health. Choice C is incorrect as social interactions are important for the child's emotional well-being and should not be limited. Choice D is incorrect as increasing dietary caffeine intake can potentially trigger seizures in some individuals with epilepsy.

4. In what position should infants be placed to sleep to reduce the risk of sudden infant death syndrome (SIDS)?

• A. Right side-lying
• B. Left side-lying
• C. Prone
• D. Supine

Correct answer: D

Rationale: The American Academy of Pediatrics recommends placing infants on their backs (supine) to sleep to reduce the risk of sudden infant death syndrome (SIDS). This position has been shown to decrease the likelihood of SIDS occurrence. Placing infants on their right or left side (choices A and B) or prone (choice C) can increase the risk of SIDS as it may obstruct the infant's airway or lead to overheating, which are known risk factors for SIDS.

5. How should a healthcare provider approach the care of a child with a suspected fracture?

• A. Immobilize the affected limb and seek medical evaluation
• B. Apply heat to the injury
• C. Allow the child to continue normal activity
• D. Administer over-the-counter pain relief only

Correct answer: A

Rationale: When a child is suspected to have a fracture, it is essential to immobilize the affected limb to prevent further injury. Seeking immediate medical evaluation is crucial for an accurate diagnosis and appropriate treatment. Applying heat to a suspected fracture can worsen the condition by increasing swelling and pain. Allowing the child to continue normal activity can lead to further damage. Administering only over-the-counter pain relief is insufficient and does not address the need for immobilization and professional evaluation.

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