Nursing Elites

1. What is a common sign of dehydration in a child with diarrhea?

• A. Decreased urine output
• B. Increased appetite
• C. Warm, dry skin
• D. Elevated blood pressure

Correct answer: A

Rationale: The correct answer is A: Decreased urine output. When a child with diarrhea is dehydrated, they may have decreased urine output, indicating that their body is conserving fluids. This sign highlights the importance of fluid replacement to prevent worsening dehydration. Choices B, C, and D are incorrect. Increased appetite is not typically associated with dehydration but can be seen in other conditions. Warm, dry skin may be a sign of fever or other skin conditions, not specifically dehydration. Elevated blood pressure is not a common sign of dehydration in a child with diarrhea.

2. By chemical analysis, what nutrient is present in the highest amounts in most foods?

• A. fats
• B. water
• C. proteins
• D. carbohydrates

Correct answer: B

Rationale: The correct answer is B. Water is the most abundant nutrient in many foods. Water content varies across different foods, but in general, it is present in the highest amounts. Fats (Choice A) are essential but are not found in higher amounts compared to water. Proteins (Choice C) and carbohydrates (Choice D) are also important nutrients, but they are typically found in lower quantities in most foods compared to water.

3. What is an important aspect of care for a child with congenital heart disease?

• A. Restricting physical activity
• B. Increasing fluid intake
• C. Administering high doses of vitamins
• D. Monitoring growth and development

Correct answer: D

Rationale: Monitoring growth and development is crucial for children with congenital heart disease to ensure they are meeting developmental milestones and managing the disease effectively. This helps healthcare providers assess the child's overall health, detect any potential issues early, and adjust treatment plans accordingly. Restricting physical activity may not be necessary for all children with congenital heart disease and should be determined by their healthcare team based on individual needs. Increasing fluid intake and administering high doses of vitamins may not be directly related to managing congenital heart disease and should be guided by specific recommendations from healthcare providers.

4. Which statement best describes the relationship between diet and chronic diseases?

• A. Diet has no impact on chronic diseases.
• B. A poor diet can increase the risk of developing chronic diseases.
• C. Diet is the sole cause of chronic diseases.
• D. A balanced diet can help prevent or manage chronic diseases.

Correct answer: B

Rationale: Choice B is the correct answer. A poor diet can increase the risk of developing chronic diseases due to the lack of essential nutrients or the presence of harmful components like excessive sugar, salt, or saturated fats. While diet plays a significant role in the development of chronic diseases, it is not the sole cause (choice C). Choice A is incorrect because diet does indeed have a significant impact on chronic diseases. Choice D is not the best answer as it does not acknowledge the negative impact of a poor diet on chronic diseases.

5. How should pain be assessed in a nonverbal child?

• A. Ask the parents about the child’s usual behavior
• B. Observe the child’s facial expressions and body movements
• C. Measure the child’s blood pressure
• D. Use a pain rating scale for older children

Correct answer: B

Rationale: Observing the nonverbal child's facial expressions and body movements is crucial in assessing pain. Nonverbal children may not be able to communicate their discomfort verbally, making it essential to rely on physical cues. Asking parents about the child's usual behavior (choice A) may provide some insight but observing the child directly is more direct and reliable. Measuring blood pressure (choice C) is not typically a direct method for assessing pain in nonverbal children. Using a pain rating scale designed for older children (choice D) is also inappropriate for nonverbal children who cannot participate in such self-reporting tools.

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