Nursing Elites

1. What is a common side effect of the antibiotic tetracycline in children?

• A. Discoloration of teeth
• B. Increased appetite
• C. Elevated blood glucose levels
• D. Decreased bone density

Correct answer: A

Rationale: Discoloration of teeth is a well-known side effect of tetracycline, especially when administered to children below 8 years of age. Tetracycline can bind to calcium ions in developing teeth, causing them to become discolored and appear yellow or brown. Increased appetite, elevated blood glucose levels, and decreased bone density are not commonly associated with the use of tetracycline in children, making them incorrect choices.

2. What is an important dietary consideration for a child with celiac disease?

• A. Increased iron intake
• B. Gluten-free diet
• C. High-protein diet
• D. Low-sodium diet

Correct answer: B

Rationale: A gluten-free diet is crucial for managing celiac disease in children because it helps prevent intestinal damage and alleviate symptoms. Gluten is a protein found in wheat, barley, and rye, and it triggers an immune response in individuals with celiac disease, damaging the lining of the small intestine. Therefore, choices A, C, and D are incorrect. While iron intake is important for overall health, a child with celiac disease can still meet their iron needs through sources that are naturally gluten-free or fortified. A high-protein diet or a low-sodium diet are not specifically required for managing celiac disease.

3. What is a common sign of iron-deficiency anemia in children?

• A. Yellowing of the skin
• B. Pallor and fatigue
• C. Rapid weight gain
• D. Increased appetite

Correct answer: B

Rationale: Pallor and fatigue are common signs of iron-deficiency anemia in children. Iron-deficiency anemia is characterized by a decreased production of red blood cells, leading to a paler appearance (pallor) and increased fatigue due to reduced oxygen-carrying capacity. Yellowing of the skin (choice A) is more commonly associated with liver or bile duct issues. Rapid weight gain (choice C) and increased appetite (choice D) are not typical signs of iron-deficiency anemia.

4. How should a healthcare provider approach the care of a child with juvenile idiopathic arthritis (JIA)?

• A. Promote weight maintenance
• B. Encourage joint mobility exercises
• C. Avoid physical inactivity
• D. Ensure a balanced diet

Correct answer: B

Rationale: Encouraging joint mobility exercises is the appropriate approach to caring for a child with juvenile idiopathic arthritis (JIA). These exercises help maintain joint function and reduce stiffness, which are crucial in managing the condition. Choices A, C, and D are incorrect. Promoting weight maintenance is more relevant than weight gain as maintaining a healthy weight is important in managing JIA. Avoiding physical inactivity is not recommended as controlled and appropriate physical activities can help improve joint flexibility and overall health. Ensuring a balanced diet, which includes adequate protein, is important for overall nutrition but is not a specific intervention for managing JIA.

5. What dietary recommendation should be made to a child with iron-deficiency anemia?

• A. Increase intake of dairy products
• B. Include high-iron foods like spinach and meat
• C. Decrease protein intake
• D. Avoid all grains

Correct answer: B

Rationale: The correct recommendation for a child with iron-deficiency anemia is to include high-iron foods like spinach, red meat, and beans in their diet. These foods are rich sources of iron and can help address the deficiency. Choice A is incorrect as dairy products do not provide significant iron content. Choice C is incorrect because protein intake does not need to be decreased; in fact, lean meats are good sources of iron. Choice D is also incorrect as whole grains can be a part of a healthy diet and do not need to be avoided in this case.

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