Nursing Elites

1. What is an important nursing intervention for a child with a newly inserted central venous catheter?

• A. Regularly monitor for signs of infection
• B. Administer intravenous fluids only as ordered
• C. Restrict the child's movement
• D. Perform daily dressing changes only

Correct answer: A

Rationale: Regularly monitoring for signs of infection is a critical nursing intervention for a child with a newly inserted central venous catheter. This intervention is essential to detect any early signs of infection, such as redness, swelling, or drainage at the catheter site, which can lead to serious complications like sepsis. Administering intravenous fluids as ordered is important but not the most crucial intervention for a newly inserted central venous catheter. Restricting the child's movement is unnecessary unless specified by the healthcare provider. Performing daily dressing changes alone is not sufficient to ensure the catheter's integrity and the child's safety; monitoring for signs of infection is key.

2. Which characteristic is most typical of a chronic disease?

• A. It has a rapid onset.
• B. It rarely has noticeable symptoms.
• C. It produces sharp pains.
• D. It progresses gradually.

Correct answer: D

Rationale: The correct answer is D. Chronic diseases are characterized by a gradual progression over time, affecting individuals for an extended period. Option A is incorrect as chronic diseases do not have a rapid onset like acute conditions. Option B is incorrect as chronic diseases often manifest noticeable symptoms. Option C is incorrect as sharp pains are not a defining characteristic of chronic diseases. Chronic diseases can present a variety of symptoms depending on the specific condition, but gradual progression is a common feature distinguishing them from acute illnesses.

3. What is one major weakness of a laboratory-based study?

• A. The costs are typically prohibitive.
• B. Findings are difficult to replicate.
• C. Results from animal testing cannot be applied to human beings.
• D. Experimental variables cannot be easily controlled.

Correct answer: C

Rationale: One major weakness of laboratory-based studies is that results from animal testing cannot always be applied to human beings. This limitation arises due to the inherent biological differences between animals and humans, making the generalization of findings challenging. While costs may be a concern in some cases, they do not represent a universal weakness of laboratory-based studies. Findings in such studies can be replicated to ensure validity, and experimental variables can be effectively controlled in a laboratory setting. Choice C is the correct answer because the translatability of results from animal studies to humans is a significant challenge in laboratory-based research, impacting the direct application of findings to human health and well-being.

4. 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.

5. What is a common sign of a urinary tract infection (UTI) in toddlers?

• A. Excessive thirst
• B. Frequent, painful urination
• C. Increased appetite
• D. Skin rash

Correct answer: B

Rationale: Frequent, painful urination is a common sign of a urinary tract infection in toddlers. This symptom is often accompanied by possible fever and irritability. Excessive thirst (Choice A) is not a typical sign of a UTI in toddlers and is more commonly associated with conditions like diabetes. Increased appetite (Choice C) is not a typical symptom of a UTI in toddlers either. Skin rash (Choice D) is not a common sign of a UTI but may indicate other conditions like allergies or infections.

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