what should the nurse anticipate as challenging in caring for a child with acute glomerulonephritis

HESI LPN

LPN Nutrition Practice Test

1. What should the nurse anticipate as challenging in caring for a child with acute glomerulonephritis?

A. Forced fluids
B. Increased feedings
C. Bed rest
D. Frequent position changes

Correct answer: C

Rationale: The correct answer is C: Bed rest. Implementing bed rest can be challenging, especially in active children, but it's necessary to manage the symptoms of acute glomerulonephritis. Forced fluids (choice A) may be required to maintain hydration but are not typically challenging. Increased feedings (choice B) and frequent position changes (choice D) are not primary interventions in the care of a child with acute glomerulonephritis.

2. What is one benefit of using a large sample size in an experiment?

A. Chance variation is less likely to affect the results.
B. The possibility of a placebo effect is eliminated.
C. The experiment will be double-blind.
D. The control group will be similar to the experimental group.

Correct answer: A

Rationale: Corrected Rationale: Using a large sample size reduces the likelihood of chance variation affecting the results, providing more reliable data. Choice B is incorrect because the placebo effect is related to participants' beliefs, not sample size. Choice C is incorrect as double-blind refers to a method of reducing bias, not directly related to sample size. Choice D is incorrect because the similarity between the control and experimental groups is not solely dependent on sample size.

3. What is an important aspect of managing a child with ADHD?

A. Increasing academic workload
B. Consistent behavior management strategies
C. Restricting all physical activity
D. Encouraging solitary activities

Correct answer: B

Rationale: Consistent behavior management strategies are crucial when managing a child with ADHD. By implementing consistent strategies, such as clear rules, positive reinforcement, and structure, it helps the child improve focus, manage impulsivity, and regulate their behavior. Choice A, 'Increasing academic workload,' is incorrect as overwhelming a child with ADHD with more academic tasks can exacerbate their symptoms. Choice C, 'Restricting all physical activity,' is also incorrect as physical activity is beneficial for children with ADHD to release excess energy and improve focus. Choice D, 'Encouraging solitary activities,' is not ideal as social interaction and engagement with others are important for a child's development 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 early sign of type 1 diabetes in children?

A. Excessive thirst and frequent urination
B. Severe abdominal pain
C. Frequent headaches
D. Sudden weight gain

Correct answer: A

Rationale: Excessive thirst and frequent urination are common early signs of type 1 diabetes in children. These symptoms occur due to high blood glucose levels, leading to increased thirst and urination. Severe abdominal pain (choice B) is not typically associated with type 1 diabetes. Although frequent headaches (choice C) can occur in some cases, they are not as specific to type 1 diabetes as excessive thirst and frequent urination. Sudden weight gain (choice D) is not a common early sign of type 1 diabetes; in fact, unexplained weight loss is more characteristic of the condition.