Nokea
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.
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What should be a priority for a 4-year-old child with nephrosis?
- A. Impaired body image
- B. Skin impairment
- C. Nutritional deficit
- D. Injury
Correct Answer: B
Rationale: The correct answer is B: Skin impairment. Skin care is a priority in nephrosis due to edema and increased risk of skin breakdown, requiring careful monitoring and management. While impaired body image (Choice A) can be a concern, it is not typically a priority in a 4-year-old with nephrosis. Nutritional deficit (Choice C) is important but addressing skin impairment takes precedence due to the immediate risk of complications related to skin breakdown. Injury (Choice D) is a general concern for children but is not the priority in a child with nephrosis.
What is a key aspect of managing a child with eczema?
- A. Daily baths with soap
- B. Regular use of emollients and moisturizers
- C. High-protein diet
- D. Frequent exposure to sunlight
Correct Answer: B
Rationale: Regular use of emollients and moisturizers is a key aspect of managing eczema in children. Emollients help maintain skin hydration and reduce irritation, which are crucial in managing eczema symptoms. Daily baths with soap can actually worsen eczema by drying out the skin further. A high-protein diet and frequent exposure to sunlight are not directly related to managing eczema and may not have a significant impact on the condition.
What is a common sign of a urinary tract infection (UTI) in toddlers?
- A. Excessive thirst
- B. Frequent, painful urination
- C. Increased appetite
- D. Skin rash
Correct Answer: B
Rationale: Frequent, painful urination is a common sign of a urinary tract infection in toddlers. This symptom is often accompanied by possible fever and irritability. Excessive thirst (Choice A) is not a typical sign of a UTI in toddlers and is more commonly associated with conditions like diabetes. Increased appetite (Choice C) is not a typical symptom of a UTI in toddlers either. Skin rash (Choice D) is not a common sign of a UTI but may indicate other conditions like allergies or infections.
Parents of a 6-month-old child, diagnosed with iron deficiency anemia, ask why it was not diagnosed earlier. What should the nurse say?
- A. Are you sure your child has iron deficiency anemia?
- B. Maternal stores of iron are depleted at about 6 months.
- C. This anemia is caused by blood loss.
- D. The child may not have had it for a long time.
Correct Answer: B
Rationale: The correct answer is B: 'Maternal stores of iron are depleted at about 6 months.' Iron deficiency anemia becomes apparent around 6 months of age when the infant's iron stores, primarily received from the mother during pregnancy, are depleted. This timing coincides with the introduction of solid foods, which may lack sufficient iron. Choices A, C, and D are incorrect because they do not address the specific reason why iron deficiency anemia is typically diagnosed around 6 months of age.
How should a healthcare provider approach the care of a child with juvenile idiopathic arthritis (JIA)?
- A. Promote weight maintenance
- B. Encourage joint mobility exercises
- C. Avoid physical inactivity
- D. Ensure a balanced diet
Correct Answer: B
Rationale: Encouraging joint mobility exercises is the appropriate approach to caring for a child with juvenile idiopathic arthritis (JIA). These exercises help maintain joint function and reduce stiffness, which are crucial in managing the condition. Choices A, C, and D are incorrect. Promoting weight maintenance is more relevant than weight gain as maintaining a healthy weight is important in managing JIA. Avoiding physical inactivity is not recommended as controlled and appropriate physical activities can help improve joint flexibility and overall health. Ensuring a balanced diet, which includes adequate protein, is important for overall nutrition but is not a specific intervention for managing JIA.