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.”
“These children have a severe deficiency of vitamin D.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A rectal temperature above 102.5 °F (39.1 °C) warrants intervention to lower fever, aligning with pediatric guidelines. This statement reflects correct understanding of fever management, making it accurate and not indicative of a need for further teaching compared to the shivering misconception in infants.
Choice B reason: Considering acetaminophen per pediatrician guidance shows understanding of safe fever management, even if avoiding medications initially. This reflects appropriate knowledge of consulting professionals, making it correct and not requiring further teaching, unlike the incorrect shivering interpretation needing clarification for parents.
Choice C reason: Shivering during fever indicates the body raising its temperature set point, not fever reduction. This misconception suggests the fever is worsening, not improving, requiring further teaching to clarify fever physiology, aligning with pediatric nursing education, making it the correct choice for additional instruction.
Choice D reason: Giving extra fluids is a standard recommendation to prevent dehydration during fever, reflecting correct knowledge. This statement aligns with fever management guidelines, making it accurate and not needing further teaching, unlike the shivering statement, which misinterprets a critical fever response in children.
Correct Answer is C
Explanation
Choice A reason: Having the nurse do everything may disrupt the toddler’s trust in parents, hindering adaptation. Following home routines provides familiarity, making this counterproductive and incorrect compared to maintaining continuity to ease the toddler’s transition from home to the hospital environment.
Choice B reason: Telling a toddler expectations assumes cognitive understanding beyond their developmental stage, potentially increasing anxiety. Home routines offer comfort, making this less effective and incorrect compared to the nurse’s focus on familiarity to support the toddler’s hospital adaptation process.
Choice C reason: Following home routines maintains familiarity, reducing stress and aiding a toddler’s adaptation to the hospital. This aligns with pediatric psychosocial care principles, making it the most beneficial action for the nurse to implement to ease the toddler’s transition from home to hospital.
Choice D reason: Allowing a toddler to dictate actions disregards necessary medical routines, potentially compromising care and safety. Home routines provide structure, making this impractical and incorrect compared to the nurse’s role in maintaining familiarity to support the toddler’s hospital adaptation.
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