Nursing Elites

1. What is an important aspect of managing a child with chronic kidney disease?

• A. Monitoring electrolyte levels
• B. Increasing protein intake
• C. Limiting fluid intake
• D. Encouraging a high-fat diet

Correct answer: A

Rationale: Monitoring electrolyte levels is crucial in managing chronic kidney disease in children because imbalances can lead to serious complications. Electrolyte levels must be carefully monitored to prevent issues such as electrolyte abnormalities, which can further impact kidney function and overall health. Choices B, C, and D are incorrect because increasing protein intake, limiting fluid intake, and encouraging a high-fat diet can exacerbate kidney disease in children by putting extra strain on their kidneys or causing other health problems.

2. Which nutrient is an organic compound?

• A. salt
• B. water
• C. calcium
• D. vitamin C

Correct answer: D

Rationale: Vitamin C is the correct answer because it is an organic compound containing carbon, which is a defining characteristic of organic compounds. Salt (choice A), water (choice B), and calcium (choice C) are inorganic compounds that do not contain carbon. Inorganic compounds are typically lacking carbon-hydrogen bonds, unlike organic compounds. Therefore, choices A, B, and C are incorrect in the context of being organic compounds.

3. How should a healthcare provider respond to a parent concerned about their child's recurrent ear infections?

• A. Suggest regular use of over-the-counter ear drops
• B. Recommend a thorough evaluation by an ENT specialist
• C. Advise on increased antibiotic use
• D. Encourage avoiding all physical activities

Correct answer: B

Rationale: When a parent expresses concerns about their child's recurrent ear infections, the best course of action is to recommend a thorough evaluation by an Ear, Nose, and Throat (ENT) specialist. This specialist can conduct a comprehensive assessment to identify the underlying cause of the ear infections and provide appropriate treatment options. Choice A is incorrect because suggesting over-the-counter ear drops without a proper evaluation may not address the root cause of the issue. Choice C is also incorrect as increasing antibiotic use without understanding the specific cause can lead to antibiotic resistance and may not be necessary. Choice D is incorrect as avoiding physical activities is unrelated to addressing recurrent ear infections and is not a recommended approach.

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. What should be monitored in a child receiving chemotherapy?

• A. Blood glucose levels
• B. Blood cell counts
• C. Weight gain
• D. Skin elasticity

Correct answer: B

Rationale: The correct answer is monitoring blood cell counts. During chemotherapy, it is crucial to monitor blood cell counts to detect potential side effects such as neutropenia (low white blood cell count) and anemia (low red blood cell count). These conditions can increase the risk of infections and fatigue. Monitoring blood glucose levels (Choice A) is not typically a primary concern in children receiving chemotherapy unless they have pre-existing conditions like diabetes. Weight gain (Choice C) and skin elasticity (Choice D) are not directly related to monitoring the effects of chemotherapy in children. Therefore, the most important parameter to monitor in a child receiving chemotherapy is blood cell counts.

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