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: Removing equipment reduces clutter but is less urgent than preventing falls, especially post-procedure when a child may be disoriented. Ensuring side rails and a low bed prioritizes safety, making this secondary and incorrect for the most immediate action in pediatric post-procedure care.
Choice B reason: Handling contaminated linens follows infection control but is not the immediate safety concern post-procedure. Preventing falls with side rails and a low bed is critical, making this less urgent and incorrect compared to the priority of ensuring the child’s physical safety after the procedure.
Choice C reason: Assessing side rails up and bed lowered prevents falls, the most immediate safety risk post-procedure when a child may be sedated or unsteady. This aligns with pediatric safety protocols, making it the correct statement for the most urgent action in post-procedure interventions.
Choice D reason: Documentation is essential but not immediate compared to fall prevention, which protects the child post-procedure. Side rails and bed positioning take precedence, making this subsequent and incorrect for the most urgent safety action required after a pediatric procedure in the hospital.
Correct Answer is A
Explanation
Choice A reason: A complete fracture occurs when bone fragments are fully separated, disrupting the bone’s continuity. This aligns with orthopedic definitions, as separation indicates a break through the entire bone, requiring intervention. The nurse’s explanation matches this, making it the correct term for separated fracture fragments in children, consistent with pediatric trauma care.
Choice B reason: An incomplete fracture involves a partial break, with fragments not fully separated, common in children’s flexible bones. The question specifies separated fragments, which does not fit this definition. This choice is incorrect, as it contradicts the description of a complete separation of bone fragments in the context of fracture classification.
Choice C reason: A spiral fracture is caused by twisting, with a helical break pattern, but separation of fragments is not its defining feature. Complete fractures specifically describe separated fragments, making this incorrect, as spiral refers to shape, not the extent of fragment separation in fractures, per orthopedic terminology.
Choice D reason: A greenstick fracture is an incomplete break where one side bends and the other cracks, typical in children. Separated fragments indicate a complete fracture, not a greenstick, making this incorrect, as greenstick fractures do not involve full separation of bone fragments as described in the nurse’s explanation.
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