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NUR 402 EXAM | QUESTIONS AND ANSWERS | GRADED A+ | | SUCCESS IN YOUR EXAM

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NUR 402 EXAM | QUESTIONS AND ANSWERS | GRADED A+ | | SUCCESS IN YOUR EXAM Chapter 11: Health Problems of Infants MULTIPLE CHOICE • A nurse is assessing a child with kwashiorkor disease. Which assessment findings shouldthe nurse expect? a. Thin wasted extremities with a prominent abdom...

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  • November 8, 2023
  • 227
  • 2023/2024
  • Exam (elaborations)
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NUR 402 EXAM | QUESTIONS AND
ANSWERS | GRADED A+ | 2023-2024 |
SUCCESS IN YOUR EXAM

Chapter 11: Health Problems of Infants


MULTIPLE CHOICE


• A nurse is assessing a child with kwashiorkor disease. Which
assessment findings should the nurse expect?
a. Thin wasted extremities with a prominent abdomen
b. Constipation

c. Elevated hemoglobin
d. High levels of
protein
ANS: A
The child with kwashiorkor has thin, wasted extremities and a
prominent abdomen from edema (ascites). Diarrhea (persistent
diarrhea malnutrition syndrome) not constipation commonly occurs
from a lowered resistance to infection and further complicates the
electrolyte imbalance. Anemia and protein deficiency is a common
finding in malnourished children with kwashiorkor.

,For help mail. nicholasmwololo30@gmail.com

PTS: 1 DIF: Cognitive Level: Understand
REF: 357 TOP: Integrated Process:
Nursing Process: Assessment MSC: Area
of Client Needs: Physiologic Integrity


• A nurse is preparing to accompany a medical mission’s team to
a third world country. Marasmus is seen frequently in children 6
months to 2 years in this country. Which symptoms should the
nurse expect for this condition?
a. Loose, wrinkled skin
b. Edematous skin
c. Depigmentation of the skin
d. Dermato

ses
ANS: A
Marasmus is characterized by gradual wasting and atrophy of body
tissues, especially of subcutaneous fat. The child appears to be very
old, with loose and wrinkled skin, unlike the child with kwashiorkor,
who appears more rounded from the edema. Fat metabolism is less
impaired than in kwashiorkor; thus, deficiency of fat-soluble vitamins
is usually minimal or absent. In general, the clinical manifestations of
marasmus are similar to those seen in kwashiorkor with the following
exceptions: With marasmus, there is no edema from
hypoalbuminemia or sodium retention, which contributes to a
severely emaciated appearance; no dermatoses caused by vitamin
deficiencies; little or no depigmentation of hair or skin; moderately
normal fat metabolism and lipid absorption; and a smaller head size
and slower recovery after treatment.

,For help mail. nicholasmwololo30@gmail.com

PTS: 1 DIF: Cognitive Level: Understand
REF: 357 TOP: Integrated Process:
Nursing Process: Assessment MSC: Area
of Client Needs: Physiologic Integrity


• Rickets is caused by a deficiency in:
a. vitamin A.

b. vitamin C.
c. vitamin D and calcium.
d. folic acid and
iron.
ANS: C
Fat-soluble vitamin D and calcium are necessary in adequate
amounts to prevent the development of rickets. No correlation
exists between vitamins A, C, folic acid, or iron and rickets.


PTS: 1 DIF: Cognitive Level: Remember
REF: 355 TOP: Integrated Process:
Nursing Process: Assessment MSC: Area
of Client Needs: Physiologic Integrity


• A nurse is preparing to administer an oral iron supplement to a
hospitalized infant. Which should not be given simultaneously with
the iron supplement?
a. Milk

b. Multivitamin

c. Fruit juice
d. Meat, fish,
poultry

, For help mail. nicholasmwololo30@gmail.com

ANS: A
Many foods interfere with iron absorption and should be avoided
when the iron is consumed. These foods include phosphates found in
milk, phytates found in cereals, and oxalates found in many
vegetables. Multivitamins may contain iron; no contraindication exists
to taking the

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