Nursing Elites

1. What action should be taken for a 2-year-old with laryngotracheobronchitis in an oxygen tent?

• A. Restrain the child and notify the healthcare provider
• B. Increase the oxygen concentration
• C. Take the child to the playroom
• D. Ask the mother to help in comforting the child

Correct answer: B

Rationale: In laryngotracheobronchitis (croup), a child may become restless due to poor oxygenation. Increasing the oxygen concentration in the oxygen tent is crucial to improve oxygenation levels and manage symptoms effectively. Restraint is not appropriate in this situation, as it may cause distress and worsen the child's condition. Taking the child to the playroom is not indicated when the child requires oxygen therapy. While comforting the child is important, the priority in this scenario is to optimize oxygen delivery to improve respiratory distress.

2. What is a common complication of untreated asthma in children?

• A. Delayed puberty
• B. Growth retardation
• C. Chronic sinusitis
• D. Frequent headaches

Correct answer: C

Rationale: The correct answer is C: Chronic sinusitis. Untreated asthma can lead to chronic sinusitis in children due to prolonged inflammation and infection of the respiratory tract. Choices A, B, and D are incorrect. Delayed puberty and growth retardation are not common complications of untreated asthma in children. Frequent headaches may be associated with asthma exacerbations but are not typical long-term complications.

3. What role do fats play in the human body?

• A. They provide a concentrated source of energy.
• B. They are the building blocks of enzymes and hormones.
• C. They are essential for brain function and development.
• D. They aid in the digestion of food.

Correct answer: D

Rationale: Fats play various essential roles in the human body, one of which is aiding in the digestion of food. While fats do provide a concentrated source of energy, the primary source is carbohydrates. Proteins are the building blocks of enzymes and hormones, not fats. Essential fatty acids found in fats are vital for brain function and development, but this is not the primary role of fats in the body.

4. How should a healthcare professional handle a child with a new diagnosis of ADHD?

• A. Provide behavioral therapy and support
• B. Increase sugar intake
• C. Restrict all forms of exercise
• D. Avoid medication use

Correct answer: A

Rationale: When dealing with a child newly diagnosed with ADHD, providing behavioral therapy and support is crucial. This approach helps the child learn coping strategies, improve social skills, and manage their symptoms effectively. Choice B, increasing sugar intake, is incorrect as there is no evidence linking sugar consumption to ADHD. Choice C, restricting all forms of exercise, is inappropriate as regular physical activity can actually benefit children with ADHD by helping them release excess energy and improve focus. Choice D, avoiding medication use, may not be the best course of action as medication prescribed by a healthcare professional can sometimes be beneficial in managing ADHD symptoms when combined with other therapies.

5. How should a healthcare provider manage a child with newly diagnosed congenital hypothyroidism?

• A. Monitor for signs of hyperactivity
• B. Ensure regular thyroid hormone replacement therapy
• C. Encourage a high-calcium diet
• D. Increase physical exercise

Correct answer: B

Rationale: Correct Answer: Ensuring regular thyroid hormone replacement therapy is crucial for managing congenital hypothyroidism in children. This therapy supports normal growth and development by replacing the deficient thyroid hormones. Monitoring for signs of hyperactivity (Choice A) is not the primary management for congenital hypothyroidism; rather, the focus should be on addressing the hormone deficiency. Encouraging a high-calcium diet (Choice C) may not directly address the thyroid hormone deficiency characteristic of congenital hypothyroidism. Increasing physical exercise (Choice D) is not the mainstay treatment for this condition; hormone replacement therapy is the cornerstone of management.

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