what should be monitored in a child receiving chemotherapy

HESI LPN

LPN Nutrition Practice Test

1. 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.

2. What is the primary treatment for a child with an anaphylactic reaction?

A. Oral antihistamines
B. Intravenous fluids
C. Epinephrine injection
D. Antipyretics

Correct answer: C

Rationale: The correct answer is C: Epinephrine injection. An epinephrine injection is the primary treatment for an anaphylactic reaction in children. Epinephrine acts quickly to reverse severe symptoms such as difficulty breathing, low blood pressure, and hives. Oral antihistamines, although useful for milder allergic reactions, are not sufficient to manage the potentially life-threatening symptoms of anaphylaxis. Intravenous fluids may be necessary to support blood pressure in a child with anaphylaxis but are not the primary treatment. Antipyretics, on the other hand, are medications used to reduce fever and are not indicated as the primary treatment for an anaphylactic reaction.

3. 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.

4. What is an important aspect of care for a child with congenital adrenal hyperplasia?

A. Monitoring electrolyte levels
B. Restricting physical activity
C. Administering high doses of vitamin A
D. Providing a high-protein diet

Correct answer: A

Rationale: The correct answer is A: Monitoring electrolyte levels. In the management of congenital adrenal hyperplasia, it is crucial to monitor electrolyte levels to prevent imbalances and related complications. Restricting physical activity (choice B) is not a typical aspect of care for this condition. Administering high doses of vitamin A (choice C) is not a standard treatment for congenital adrenal hyperplasia and can be harmful in excess. Providing a high-protein diet (choice D) may be beneficial for some conditions but is not a specific requirement for managing congenital adrenal hyperplasia.

5. Which nutrient is classified as a micronutrient?

A. minerals
B. proteins
C. alcohols
D. carbohydrates

Correct answer: A

Rationale: The correct answer is minerals. Micronutrients are required by the body in smaller amounts compared to macronutrients like proteins and carbohydrates. Proteins are macronutrients necessary for growth and repair, not classified as micronutrients. Alcohols and carbohydrates are not classified as micronutrients either.