what is an essential aspect of managing a child with juvenile idiopathic arthritis jia

HESI LPN

LPN Nutrition Practice Test

1. What is an essential aspect of managing a child with juvenile idiopathic arthritis (JIA)?

A. Encouraging joint mobility and physical therapy
B. Restricting all forms of exercise
C. Increasing sugar intake
D. Using only oral medications

Correct answer: A

Rationale: Encouraging joint mobility and physical therapy is crucial in managing juvenile idiopathic arthritis (JIA). This approach helps maintain joint function, reduce stiffness, and improve the overall quality of life for children with JIA. Restricting all forms of exercise (Choice B) is not recommended, as appropriate physical activity is beneficial for joint health and overall well-being. Increasing sugar intake (Choice C) is not a recommended practice for managing JIA, as a healthy diet is important for overall well-being and can help reduce inflammation. Using only oral medications (Choice D) may not be sufficient for managing JIA, as a comprehensive treatment plan often includes a combination of medications, physical therapy, and other interventions to effectively manage the condition.

2. How many vitamins are known to be required in the diet of human beings?

A. 5
B. 8
C. 10
D. 13

Correct answer: D

Rationale: The correct answer is D: 13. There are 13 essential vitamins required in the diet of human beings, including vitamins A, C, D, E, K, and the B vitamins. Choice A (5), Choice B (8), and Choice C (10) are incorrect because they do not represent the total number of essential vitamins needed by human beings.

3. What is the most effective therapy for maintaining remission of acute lymphoblastic leukemia?

A. Surgery to remove enlarged lymph nodes
B. Long-term chemotherapy
C. Nutritional supplements to enhance blood cell production
D. Blood transfusions to replace ineffective red cells

Correct answer: B

Rationale: The correct answer is B: Long-term chemotherapy. Long-term chemotherapy, specifically with methotrexate, is the most effective therapy for maintaining remission in acute lymphoblastic leukemia. Surgery to remove enlarged lymph nodes (Choice A) is not the primary treatment for leukemia. Nutritional supplements (Choice C) may support overall health but are not the mainstay therapy for maintaining leukemia remission. Blood transfusions (Choice D) are used to address anemia in some cases but are not the primary treatment for maintaining remission in acute lymphoblastic leukemia.

4. What is the primary purpose of a placebo in an experiment?

A. To reduce the cost of the experiment.
B. To make the experiment double-blind.
C. To increase the number of participants.
D. To serve as a control for comparison with the treatment group.

Correct answer: D

Rationale: The correct answer is D. A placebo serves as a control for comparison with the treatment group, helping to eliminate bias and ensure the results are due to the treatment itself. Placebos are crucial in research to distinguish the actual effect of the treatment from psychological or subjective factors. Choice A is incorrect because the purpose of a placebo is not related to reducing the cost of the experiment. Choice B is incorrect because while placebos are used in double-blind studies, their primary purpose is not to make the experiment double-blind. Choice C is incorrect because the purpose of a placebo is not to increase the number of participants but rather to serve as a comparison group for the treatment being tested.

5. Why must a child with acute laryngotracheobronchitis be kept NPO?

A. The epinephrine administration may cause nausea and vomiting
B. The child is being hydrated with IV fluids
C. The child may not feel hungry
D. Rapid respirations pose a risk for aspiration

Correct answer: D

Rationale: In acute laryngotracheobronchitis, rapid respirations increase the risk of aspiration due to compromised airway protection and potential for secretions to enter the lungs. Keeping the child NPO helps prevent the risk of aspiration pneumonia. Choice A is incorrect because epinephrine is not typically used for laryngotracheobronchitis. Choice B is incorrect as hydration with IV fluids does not eliminate the risk of aspiration. Choice C is also incorrect because the child being hungry is not the primary reason for keeping them NPO in this condition.