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How should a healthcare provider address the nutritional needs of a child with chronic kidney disease?
- A. Increase protein intake
- B. Reduce sodium and phosphorus intake
- C. Promote a high-fat diet
- D. Encourage frequent sugary snacks
Correct Answer: B
Rationale: Reducing sodium and phosphorus intake is crucial in managing chronic kidney disease in children because it helps prevent complications such as electrolyte imbalances and bone problems. High protein intake can actually be harmful to the kidneys in this condition as it can lead to increased waste production. A high-fat diet is not recommended as it can contribute to heart and blood vessel problems. Encouraging frequent sugary snacks can lead to further complications like obesity and diabetes, which are not beneficial for a child with chronic kidney disease.
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Which characteristic is most typical of a chronic disease?
- A. It has a rapid onset.
- B. It rarely has noticeable symptoms.
- C. It produces sharp pains.
- D. It progresses gradually.
Correct Answer: D
Rationale: The correct answer is D. Chronic diseases are characterized by a gradual progression over time, affecting individuals for an extended period. Option A is incorrect as chronic diseases do not have a rapid onset like acute conditions. Option B is incorrect as chronic diseases often manifest noticeable symptoms. Option C is incorrect as sharp pains are not a defining characteristic of chronic diseases. Chronic diseases can present a variety of symptoms depending on the specific condition, but gradual progression is a common feature distinguishing them from acute illnesses.
What is the priority assessment for a child with suspected appendicitis?
- A. Temperature
- B. Heart rate
- C. Respiratory rate
- D. Pain level
Correct Answer: D
Rationale: The priority assessment for a child with suspected appendicitis is 'Pain level.' Evaluating the pain level, particularly in the lower right quadrant, is crucial as it helps in determining the severity of the condition, leading to prompt diagnosis and treatment. Monitoring temperature, heart rate, and respiratory rate are important aspects of assessment; however, they are secondary to assessing the pain level in cases of suspected appendicitis. Pain assessment is key in diagnosing this condition since the classic presentation includes abdominal pain that often starts around the umbilicus and then localizes to the right lower quadrant.
What is a common sign of dehydration in infants?
- A. Decreased urination
- B. Dry mouth and lips
- C. Increased appetite
- D. Normal skin turgor
Correct Answer: B
Rationale: Dry mouth and lips are common signs of dehydration in infants. When an infant is dehydrated, the body conserves water, resulting in less urine production and concentrated urine. This leads to decreased frequency of urination rather than frequent urination, making choice A incorrect. Choice C, increased appetite, is not typically associated with dehydration in infants but rather with normal growth and development. Normal skin turgor, as mentioned in choice D, is a sign of hydration and not dehydration, making it an incorrect choice. Therefore, the correct answer is B, dry mouth and lips, which indicate a need for fluid replacement.
How should a caregiver handle a child with a known peanut allergy?
- A. Educate on allergen avoidance
- B. Increase exposure to peanuts
- C. Administer antihistamines as needed
- D. Suggest occasional consumption of peanuts
Correct Answer: A
Rationale: Educating on allergen avoidance is the correct approach when dealing with a child who has a known peanut allergy. This helps in managing the allergy effectively and preventing potential allergic reactions. Increasing exposure to peanuts (Choice B) is dangerous and can trigger severe allergic reactions in a child with a peanut allergy. While antihistamines (Choice C) can help alleviate some symptoms, they should not be the primary method of managing a peanut allergy. Suggesting occasional consumption of peanuts (Choice D) is extremely risky and should never be done for a child with a known peanut allergy.
Which individual is making a food choice based on negative association?
- A. A tourist from China who rejects a hamburger due to unfamiliarity
- B. A child who spits out his mashed potatoes because they taste too salty
- C. A teenager who grudgingly accepts an offer for an ice cream cone to avoid offending a close friend
- D. An elderly gentleman who refuses a peanut butter and jelly sandwich because he considers it a child's food
Correct Answer: D
Rationale: Choice D is the correct answer because the elderly gentleman is refusing the peanut butter and jelly sandwich due to his negative association of considering it a child's food. This negative association influences his food choice. Choices A, B, and C do not involve negative associations with the food being consumed. Choice A is based on unfamiliarity, Choice B is due to taste preference, and Choice C is driven by social considerations rather than negative food association.