Nursing Elites

1. Which medication is typically used for long-term control of asthma?

• A. Albuterol
• B. Theophylline
• C. Ipratropium
• D. Prednisone

Correct answer: B

Rationale: The correct answer is B, Theophylline. Theophylline is commonly used for long-term control of asthma by relaxing the muscles around the airways to keep them open, making breathing easier. Albuterol (choice A) is a short-acting bronchodilator for quick relief of asthma symptoms, not for long-term control. Ipratropium (choice C) is another short-acting bronchodilator that helps open the airways but is not typically used for long-term control. Prednisone (choice D) is a corticosteroid usually used for short periods to control asthma exacerbations or flare-ups, not as a long-term control medication.

2. What is a common sign of developmental dysplasia of the hip (DDH) in infants?

• A. Dislocated patella
• B. Limited abduction of the hip
• C. Swelling of the knee
• D. Hyperextension of the leg

Correct answer: B

Rationale: Limited abduction of the hip is a common sign of developmental dysplasia of the hip in infants. It indicates possible hip dislocation or instability, making it a key clinical manifestation to assess for DDH. Dislocated patella (Choice A) is not typically associated with DDH. Swelling of the knee (Choice C) and hyperextension of the leg (Choice D) are not specific signs linked to DDH in infants, further supporting why they are incorrect choices.

3. What is the result of the metabolism of energy nutrients?

• A. Energy is released.
• B. Body fat increases.
• C. Energy is destroyed.
• D. Body water decreases.

Correct answer: A

Rationale: The correct answer is A. Energy is released during the metabolism of energy nutrients. This released energy is utilized by the body for various functions. Choice B is incorrect because the metabolism of energy nutrients does not directly result in an increase in body fat. Choice C is incorrect as energy is not destroyed but rather transformed and utilized by the body. Choice D is incorrect as the metabolism of energy nutrients does not lead to a decrease in body water.

4. What is an essential aspect of managing a child with juvenile idiopathic arthritis (JIA)?

• A. Encouraging joint mobility and physical therapy
• B. Restricting all forms of exercise
• C. Increasing sugar intake
• D. Using only oral medications

Correct answer: A

Rationale: Encouraging joint mobility and physical therapy is crucial in managing juvenile idiopathic arthritis (JIA). This approach helps maintain joint function, reduce stiffness, and improve the overall quality of life for children with JIA. Restricting all forms of exercise (Choice B) is not recommended, as appropriate physical activity is beneficial for joint health and overall well-being. Increasing sugar intake (Choice C) is not a recommended practice for managing JIA, as a healthy diet is important for overall well-being and can help reduce inflammation. Using only oral medications (Choice D) may not be sufficient for managing JIA, as a comprehensive treatment plan often includes a combination of medications, physical therapy, and other interventions to effectively manage the condition.

5. How should a healthcare professional manage a child with a newly inserted central venous catheter?

• A. Monitor for signs of infection
• B. Restrict all physical activity
• C. Administer routine antibiotics
• D. Increase fluid intake only

Correct answer: A

Rationale: Monitoring for signs of infection is crucial in managing a central venous catheter to prevent complications. This involves observing for redness, swelling, warmth, or drainage at the catheter site, as these can indicate an infection. Restricting physical activity unnecessarily (choice B) can hinder the child's recovery and quality of life. Administering routine antibiotics (choice C) without a confirmed infection can lead to antibiotic resistance and unnecessary side effects. Increasing fluid intake only (choice D) is not the primary intervention for managing a central venous catheter.

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