what is the key to preventing recurrent respiratory infections in children with cystic fibrosis

HESI LPN

LPN Nutrition Practice Test

1. What is the key to preventing recurrent respiratory infections in children with cystic fibrosis?

A. Routine use of antibiotics
B. Daily chest physiotherapy
C. Increased fluid intake
D. Dietary supplements

Correct answer: B

Rationale: The correct answer is B: Daily chest physiotherapy. Daily chest physiotherapy is essential in cystic fibrosis as it helps in clearing mucus from the lungs, reducing the frequency of respiratory infections. Antibiotics (Choice A) may treat infections but are not the key preventive measure. Increased fluid intake (Choice C) and dietary supplements (Choice D) can be beneficial for overall health but do not directly prevent recurrent respiratory infections in children with cystic fibrosis.

2. What is the main purpose of Recommended Dietary Allowances (RDAs)?

A. To provide guidelines for nutrient intakes that meet the needs of most healthy people.
B. To specify the minimum amount of nutrients required for survival.
C. To establish maximum safe levels of nutrient intakes.
D. To recommend specific nutrient intake levels to prevent chronic diseases.

Correct answer: A

Rationale: The main purpose of Recommended Dietary Allowances (RDAs) is to provide guidelines for nutrient intakes that meet the needs of most healthy people. Choice B is incorrect because RDAs aim beyond just survival requirements. Choice C is incorrect because establishing maximum safe levels is the role of Tolerable Upper Intake Levels (ULs). Choice D is incorrect because preventing chronic diseases is more associated with Dietary Reference Intakes (DRIs) like Adequate Intakes (AIs) and Tolerable Upper Intake Levels (ULs). Therefore, the correct answer is A.

3. What does the term 'essential nutrient' refer to?

A. A nutrient that can be synthesized by the body.
B. A nutrient that is required for proper body functioning.
C. A nutrient that must be obtained from the diet because the body cannot produce it.
D. A nutrient that can be stored in the body for long periods.

Correct answer: C

Rationale: The correct answer is C. An essential nutrient is a substance that is necessary for normal body functioning but cannot be synthesized in adequate amounts by the body, therefore it must be obtained from the diet. Choices A, B, and D are incorrect because essential nutrients are not synthesized by the body, they are necessary for body functioning, and they are not typically stored in the body for long periods.

4. What action should be taken for a 2-year-old with laryngotracheobronchitis in an oxygen tent?

A. Restrain the child and notify the healthcare provider
B. Increase the oxygen concentration
C. Take the child to the playroom
D. Ask the mother to help in comforting the child

Correct answer: B

Rationale: In laryngotracheobronchitis (croup), a child may become restless due to poor oxygenation. Increasing the oxygen concentration in the oxygen tent is crucial to improve oxygenation levels and manage symptoms effectively. Restraint is not appropriate in this situation, as it may cause distress and worsen the child's condition. Taking the child to the playroom is not indicated when the child requires oxygen therapy. While comforting the child is important, the priority in this scenario is to optimize oxygen delivery to improve respiratory distress.

5. What is a common early sign of RSV (respiratory syncytial virus) in infants?

A. High fever
B. Nasal congestion
C. Rash
D. Jaundice

Correct answer: B

Rationale: Nasal congestion is a common early sign of RSV in infants, often accompanied by cough and wheezing. High fever, rash, and jaundice are not typically associated with RSV. While RSV can lead to fever, it is usually not one of the earliest signs. Rash and jaundice are unrelated to RSV symptoms.