A 10-year-old Hindu child who has just been diagnosed with diabetes is admitted to the pediatric clinical unit. The nurse is counseling the parents and child regarding the child's dietary needs. Which of the following statements by the nurse would be appropriate?
Diabetes is a very serious illness. It may be necessary for you to consume foods that you are unaccustomed to eating.
To be able to provide you with the best information about dietary needs, I need to ask whether you follow a vegan diet.
I understand that you do not usually eat fruit, but because you are diabetic, it will be essential for you to eat fruit.
It is very important for you to eat protein at each meal. Meat is an excellent source of protein.
The Correct Answer is B
Choice A reason: This is not appropriate because it implies that the child's current diet is inadequate or incompatible with diabetes management. It may also offend the parents and the child by disregarding their cultural and religious preferences.
Choice B reason: This is appropriate because it shows respect and sensitivity for the child's and the parents' dietary choices. It also helps the nurse to tailor the dietary education and advice according to the child's needs and preferences.
Choice C reason: This is not appropriate because it contradicts the child's and the parents' beliefs and practices. Hindus consider fruit to be sacred and offer it to their gods. They do not eat fruit after it has been offered, as it is considered prasad, or blessed food.
Choice D reason: This is not appropriate because it assumes that meat is the only or the best source of protein. It may also violate the child's and the parents' ethical or religious values, as some Hindus avoid meat or certain types of meat.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the most comprehensive and accurate way of assessing a child's pain, as it takes into account the child's own perception, the parent's observation, and the objective signs of pain.
Choice B reason: This is not the best approach, as the parents may not be able to accurately rate the child's pain, especially if the child is too young or has communication difficulties.
Choice C reason: This is not the best approach, as behavioral clues may not always reflect the intensity or quality of pain, and may be influenced by other factors such as fear, anxiety, or coping strategies.
Choice D reason: This is not the best approach, as physiological measures may not always correlate with pain, and may be affected by other variables such as medication, stress, or illness.
Correct Answer is A
Explanation
Choice A reason: This response is correct because a sweat chloride test is the gold standard for diagnosing CF. CF is a genetic disorder that affects the function of the chloride channels in the cells, leading to thick and sticky mucus in various organs. A sweat chloride test measures the amount of chloride in the sweat, which is abnormally high in people with CF.
Choice B reason: This response is not correct because serum calcium is not related to CF. Serum calcium is a measure of the amount of calcium in the blood, which is influenced by factors such as diet, vitamin D, parathyroid hormone, and kidney function.
Choice C reason: This response is not correct because bronchoscopy is not a diagnostic test for CF. Bronchoscopy is a procedure that involves inserting a flexible tube with a camera into the airways to examine the lungs and collect samples. Bronchoscopy may be used to treat complications of CF, such as mucus plugs or infections, but it is not essential for establishing the diagnosis.
Choice D reason: This response is not correct because urine creatinine is not a diagnostic test for CF. Urine creatinine is a measure of the amount of creatinine, a waste product of muscle metabolism, in the urine. Urine creatinine reflects the kidney function and muscle mass, but it is not affected by CF.
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