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. How should a healthcare provider assist in the management of a child with type 1 diabetes?

• A. Provide high-carbohydrate snacks
• B. Schedule frequent blood glucose tests
• C. Increase dietary fat intake
• D. Encourage a high-protein diet

Correct answer: B

Rationale: For the management of type 1 diabetes in a child, scheduling frequent blood glucose tests is essential. These tests help in monitoring blood sugar levels, adjusting insulin doses, and ensuring proper glucose control. Choices A, C, and D are incorrect. Providing high-carbohydrate snacks can lead to blood sugar spikes, increasing dietary fat intake is not recommended, and encouraging a high-protein diet is not a standard recommendation for managing type 1 diabetes in children.

3. The motive for a person who alters their diet due to religious convictions is most likely related to their ___.

• A. values
• B. body image
• C. ethnic heritage
• D. functional association

Correct answer: A

Rationale: The correct answer is A, 'values.' When individuals alter their diet due to religious convictions, it is primarily driven by their personal or cultural values associated with their faith. This choice reflects the strong influence that religious beliefs can have on dietary choices. Choice B, 'body image,' is incorrect because altering one's diet for religious reasons is more about spiritual beliefs than physical appearance. Choice C, 'ethnic heritage,' is incorrect as it pertains more to cultural background rather than religious convictions. Choice D, 'functional association,' is incorrect as it does not directly relate to the motivation behind altering one's diet for religious reasons.

4. Which of the following statements about nutrition is true?

• A. Nutrition is the only factor that influences health.
• B. Nutrient needs are the same for everyone.
• C. Certain nutrients are more important than others.
• D. Nutrient recommendations are designed to meet the needs of most healthy people.

Correct answer: D

Rationale: The correct answer is D. Nutrient recommendations are designed to meet the needs of most healthy people, providing guidelines for a balanced diet. Choice A is incorrect because while nutrition plays a crucial role in health, it is not the only factor influencing it. Choice B is incorrect as nutrient needs vary based on factors like age, gender, activity level, and health status. Choice C is incorrect because all nutrients are essential for different bodily functions, and none can be deemed universally more important than others.

5. What is an important nursing intervention for a child with a newly inserted central venous catheter?

• A. Regularly monitor for signs of infection
• B. Administer intravenous fluids only as ordered
• C. Restrict the child's movement
• D. Perform daily dressing changes only

Correct answer: A

Rationale: Regularly monitoring for signs of infection is a critical nursing intervention for a child with a newly inserted central venous catheter. This intervention is essential to detect any early signs of infection, such as redness, swelling, or drainage at the catheter site, which can lead to serious complications like sepsis. Administering intravenous fluids as ordered is important but not the most crucial intervention for a newly inserted central venous catheter. Restricting the child's movement is unnecessary unless specified by the healthcare provider. Performing daily dressing changes alone is not sufficient to ensure the catheter's integrity and the child's safety; monitoring for signs of infection is key.

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