Nokea
How should a caregiver manage a child with a new diagnosis of sickle cell anemia?
- A. Ensure the child receives frequent blood transfusions
- B. Promote adequate hydration and pain management
- C. Restrict physical activity
- D. Administer high doses of vitamin C
Correct Answer: B
Rationale: Promoting adequate hydration and pain management is crucial for managing sickle cell anemia to prevent crises and complications. Adequate hydration helps prevent sickling of red blood cells, while effective pain management is essential for addressing the frequent pain episodes associated with the condition. Ensuring the child receives frequent blood transfusions is not the initial management for sickle cell anemia; transfusions are usually reserved for specific complications. Restricting physical activity should be individualized based on the child's condition; some physical activity is beneficial for overall health. Administering high doses of vitamin C is not a standard treatment for sickle cell anemia and does not address the underlying pathology of the disease.
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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.
A child develops a strong dislike of noodle soup after consuming a bowl while sick with the flu. Her reaction is an example of a food-related ___.
- A. habit
- B. social interaction
- C. emotional turmoil
- D. negative association
Correct Answer: D
Rationale: The correct answer is 'negative association.' A negative association occurs when a person develops a dislike for a food due to a past negative experience, such as getting sick after eating it. In this case, the child's dislike of noodle soup is specifically linked to the negative experience of consuming it while sick with the flu. Choices A, B, and C are incorrect because the situation described does not relate to habit formation, social interactions, or emotional turmoil, but rather to a learned aversion based on a specific negative event.
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.
What is a common sign of hypothyroidism in children?
- A. Weight loss
- B. Increased heart rate
- C. Dry skin and constipation
- D. Elevated blood pressure
Correct Answer: C
Rationale: Dry skin and constipation are typical signs of hypothyroidism in children. Hypothyroidism results from an underactive thyroid gland, leading to symptoms such as dry skin and constipation. Weight loss (Choice A) is more commonly associated with hyperthyroidism, where the thyroid gland is overactive. Increased heart rate (Choice B) and elevated blood pressure (Choice D) are also more characteristic of hyperthyroidism rather than hypothyroidism. Therefore, the correct answer is dry skin and constipation (Choice C) when identifying signs of hypothyroidism in children.
What is an important aspect of managing a child with asthma in a school setting?
- A. Limiting physical activity
- B. Ensuring access to emergency medications
- C. Reducing the number of classes attended
- D. Avoiding interaction with other students
Correct Answer: B
Rationale: The correct answer is B: Ensuring access to emergency medications. In a school setting, it is crucial to have emergency medications available for a child with asthma in case of an asthma attack. This helps in managing asthma effectively and promptly. Choices A, C, and D are incorrect because limiting physical activity, reducing the number of classes attended, and avoiding interaction with other students are not recommended strategies for managing asthma in a school setting. Encouraging physical activity, ensuring regular attendance, and promoting social interactions are important for the overall well-being of a child with asthma.