Nursing Elites

1. What component should be included in the nutritional management of a child with Crohn's disease?

• A. High fiber
• B. Increased protein
• C. Reduced calories
• D. Herbal supplements

Correct answer: B

Rationale: The correct answer is B: Increased protein. Children with Crohn's disease require a diet high in protein to support growth and tissue repair. High fiber should be avoided as it can exacerbate symptoms of Crohn's disease. Reducing calories can lead to malnutrition, which is detrimental in this condition. Herbal supplements should be used cautiously and only under medical advice as they may interact with medications or worsen symptoms.

2. Children are taught the values of their culture through observation and feedback relative to their own behavior. In teaching a class on cultural competence, the nurse should be aware that which factor may be culturally determined?

• A. Ethnicity
• B. Racial variation
• C. Status
• D. Geographic boundaries

Correct answer: C

Rationale: Status, or the social standing within a culture, is often culturally determined and plays a significant role in shaping behaviors and expectations.

3. The nurse is caring for a non-English-speaking child and family. Which should the nurse consider when using an interpreter?

• A. Pose several questions at a time
• B. Use medical jargon when possible
• C. Communicate directly with family members when asking questions
• D. Carry on some communication in English with the interpreter about the family's needs

Correct answer: C

Rationale: The nurse should communicate directly with the family members when asking questions, ensuring the interpreter translates accurately without adding or omitting information.

4. What is most important in the management of cellulitis?

• A. Burow solution compresses
• B. Oral or parenteral antibiotics
• C. Topical application of an antibiotic
• D. Incision and drainage of severe lesions

Correct answer: B

Rationale: Oral or parenteral antibiotics are essential in treating cellulitis to eliminate the infection. Topical antibiotics are not sufficient, and incision and drainage are only for abscesses.

5. What do mortality statistics describe?

• A. Disease occurring regularly within a geographic location
• B. The number of individuals who have died over a specific period
• C. The prevalence of specific illness in the population at a particular time
• D. Disease occurring in more than the number of expected cases in a community

Correct answer: B

Rationale: Mortality statistics describe the number of individuals who have died over a specific period, providing insight into public health concerns.

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