The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with Kwashiorkor. The nurses in the group make the following statements. Which statement is most accurate related to the diagnosis of Kwashiorkor?

“The highest incidence of this disease is seen in children who are adolescents.”

“The cause of this disease can be treated very simply.”

“It is important to increase the intake of protein for these children.”

“These children have a severe deficiency of vitamin D.”

Answer and Explanation

The Correct Answer is C

Choice A reason: Kwashiorkor primarily affects young children, not adolescents, due to protein deficiency during critical growth periods. Increasing protein intake is the key treatment, making this inaccurate, as it misidentifies the age group most impacted by this nutritional disorder in the in-service discussion.

Choice B reason: Treating Kwashiorkor is complex, requiring gradual protein reintroduction and management of complications, not a simple fix. Increasing protein is central, but the process is intricate, making this incorrect compared to the accurate focus on protein supplementation for recovery in affected children.

Choice C reason: Kwashiorkor results from severe protein deficiency, and increasing protein intake is critical for treatment, restoring growth and tissue repair. This aligns with pediatric nutritional deficiency management, making it the most accurate statement about addressing Kwashiorkor in children during the in-service program.

Choice D reason: Kwashiorkor is caused by protein deficiency, not vitamin D deficiency, which is linked to rickets. Protein supplementation is the primary intervention, making this incorrect, as it misattributes the nutritional cause of Kwashiorkor to a vitamin deficiency in the context of the discussion.

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Correct Answer is D

Explanation

Choice A reason: An electric heating pad provides dry heat, not moist heat, which is needed for deeper tissue penetration and comfort. Towels dampened with hot water deliver moist heat effectively, making this incorrect for the caregiver’s instruction on providing the recommended therapy at home for the child.

Choice B reason: Microwave-heated towels risk uneven heating and burns, making them unsafe for moist heat application. Towels dampened with hot water ensure controlled, safe moist heat, making this unreliable and incorrect for the caregiver’s home application of moist heat therapy as recommended.

Choice C reason: A hot water bottle provides dry heat, not moist, as it does not involve dampness. Towels dampened with hot water meet the moist heat requirement, making this incorrect, as it fails to deliver the specific type of heat therapy recommended for the child’s home care.

Choice D reason: Towels dampened with hot water provide safe, effective moist heat, penetrating tissues and soothing the child’s condition as recommended. This method aligns with pediatric home care instructions, making it the correct choice for teaching the caregiver about moist heat application at home.

A. “The purpose of this form of suctioning is to remove secretions from the nose and mouth.” B. “If possible, the child should be asked to cough before suctioning.” C. “Sterile normal saline drops are used to loosen the dried secretions prior to nasal suctioning.” D. “Such suctioning is only done with a bulb syringe.”

Correct Answer is D

Explanation

Choice A reason: Suctioning removes secretions from the nose and mouth, a correct purpose. This statement reflects accurate understanding of the procedure’s goal, making it correct and not requiring further instruction, unlike the misconception about exclusive bulb syringe use in suctioning discussed in the seminar.

Choice B reason: Asking a child to cough before suctioning clears airways and is appropriate when feasible, showing correct knowledge. This does not indicate a need for instruction, making it incorrect compared to the incorrect limitation of suctioning to bulb syringes only in the student’s statement.

Choice C reason: Using sterile saline drops to loosen secretions is a standard practice in nasal suctioning, reflecting accurate technique. This statement is correct, making it incorrect for needing further instruction, unlike the erroneous restriction of suctioning to bulb syringes alone in the seminar discussion.

Choice D reason: Suctioning is not limited to bulb syringes; catheter or mechanical suction is used in clinical settings for deeper secretions. This statement reflects a misunderstanding, requiring further instruction on suctioning methods, aligning with pediatric nursing standards, making it the correct choice for additional teaching.

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The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with Kwashiorkor. The nurses in the group make the following statements. Which statement is most accurate related to the diagnosis of Kwashiorkor?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The nurse is presenting a post-conference seminar to a group of nursing students on the topic of suctioning of a child. Which statement made by a student demonstrates a need for further instruction on this procedure?

Correct Answer is D

Explanation

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