Nursing Elites

1. What is a key dietary consideration for a child with phenylketonuria (PKU)?

• A. High-fiber diet
• B. Low-phenylalanine diet
• C. Increased dairy intake
• D. High-sodium diet

Correct answer: B

Rationale: A low-phenylalanine diet is crucial for managing PKU to prevent neurological damage and maintain normal development. Phenylalanine is an amino acid found in protein-containing foods, and individuals with PKU have difficulty metabolizing it. Consuming foods low in phenylalanine helps prevent the buildup of toxic byproducts in the body. Choices A, C, and D are incorrect. A high-fiber diet, increased dairy intake, and high-sodium diet are not specific dietary considerations for PKU management. In fact, dairy products are a source of protein and phenylalanine, which should be limited in PKU.

2. Farah is viewing an exciting sports match of her favorite team and eating because of nervousness. Her food choice will most likely be based on ___.

• A. regional cuisines
• B. preferences
• C. emotional comfort
• D. positive association

Correct answer: C

Rationale: During stressful situations like watching an exciting sports match, individuals often seek emotional comfort through food. This emotional connection can lead Farah to choose foods that provide comfort or familiarity rather than being based on regional cuisines (choice A), general preferences (choice B), or positive associations (choice D). Farah's food choice is likely driven by the need for emotional comfort to alleviate her nervousness, making option C the most suitable answer.

3. What is the first-line treatment for a child with a bacterial ear infection?

• A. Intravenous antibiotics
• B. Oral antibiotics
• C. Nasal decongestants
• D. Antihistamines

Correct answer: B

Rationale: The correct answer is B: Oral antibiotics. Oral antibiotics are the first-line treatment for bacterial ear infections in children as they effectively target the infection at the source and help alleviate symptoms. Intravenous antibiotics (Choice A) are typically reserved for severe cases where oral antibiotics are not sufficient. Nasal decongestants (Choice C) and antihistamines (Choice D) are not the primary treatments for bacterial ear infections. Nasal decongestants are used for nasal congestion, and antihistamines are used for allergies. However, these medications do not directly address the bacterial infection in the ear, unlike oral antibiotics.

4. How should a healthcare professional respond to a parent concerned about their child's weight gain?

• A. Provide guidance on healthy eating and physical activity
• B. Suggest restrictive dieting
• C. Recommend increased caloric intake
• D. Avoid discussing the issue

Correct answer: A

Rationale: When a parent expresses concern about their child's weight gain, the most appropriate response is to provide guidance on healthy eating and physical activity. This approach promotes healthy weight management and overall well-being. Suggesting restrictive dieting (Choice B) can be harmful, especially for children, as it may lead to unhealthy relationships with food and potential nutritional deficiencies. Recommending increased caloric intake (Choice C) without proper assessment and guidance can exacerbate the issue. Avoiding discussing the issue (Choice D) neglects a critical opportunity to address the parent's concerns and support the child's health.

5. 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.

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