A high-protein diet is prescribed for an adolescent client who is anemic. Which lunch is best for this client?

A tuna sandwich, French fries, and a glass of milk.

A cheese sandwich, an apple, and a soda.

An egg salad sandwich, soda, and chocolate cake.

A hot dog, potato chips, and a glass of milk.

Answer and Explanation

The Correct Answer is A

Choice A reason:

A tuna sandwich, French fries, and a glass of milk provide a high-protein meal that is beneficial for an adolescent client who is anemic. Tuna is a rich source of protein and iron, both of which are important for addressing anemia. Milk adds additional protein and calcium, supporting overall health. While French fries are not the healthiest option, the protein content of the meal is the primary focus.

Choice B reason:

A cheese sandwich, an apple, and a soda provide some protein from the cheese, but the overall protein content is lower compared to the tuna sandwich. Additionally, soda is high in sugar and does not contribute to the nutritional needs of an anemic client.

Choice C reason:

An egg salad sandwich, soda, and chocolate cake provide protein from the eggs, but the meal includes high-sugar items like soda and chocolate cake. These items do not support the nutritional needs of an anemic client and can contribute to unhealthy eating habits.

Choice D reason:

A hot dog, potato chips, and a glass of milk provide some protein from the hot dog and milk, but hot dogs are high in saturated fats and sodium. Potato chips are also high in unhealthy fats and do not contribute to the nutritional needs of an anemic client. The overall meal is less balanced compared to the tuna sandwich option.

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Correct Answer is C

Explanation

Choice C reason:

Vitamin B1 (thiamine) deficiency is commonly associated with chronic alcohol abuse and can lead to neurological symptoms such as nystagmus, ataxia, and tremors. Thiamine is essential for nerve function and energy metabolism. Chronic alcohol consumption impairs thiamine absorption and utilization, leading to deficiencies that manifest as neurological symptoms. Supplementing thiamine is crucial for preventing and treating these symptoms in clients with a history of alcohol abuse.

Choice A reason:

Protein starvation can lead to muscle wasting and general weakness but is less likely to cause the specific neurological symptoms observed in this client. While adequate protein intake is important, the symptoms described are more indicative of a vitamin deficiency.

Choice B reason:

Lack of dietary vitamin A can cause vision problems and immune deficiencies but is not typically associated with nystagmus, ataxia, and tremors. Vitamin A deficiency affects the eyes and skin more than the nervous system.

Choice D reason:

Iron deficiency anemia can cause fatigue, pallor, and shortness of breath but does not typically present with the neurological symptoms described. The client’s symptoms are more consistent with a deficiency in a vitamin essential for nerve function, such as thiamine.

A. “My feet don’t tingle like they used to.” B. “I can see at night when I wake up now.” C. “My tummy seems so much smaller now.” D. “The bruises on my arms are all gone.”

Correct Answer is B

Explanation

A. “My feet don’t tingle like they used to” is not related to Vitamin A intake. Tingling feet can be associated with other nutritional deficiencies, such as Vitamin B12 or folate, but not Vitamin A.

B. “I can see at night when I wake up now” indicates an improvement in night vision, which is directly related to adequate Vitamin A intake. Vitamin A is essential for the production of rhodopsin, a pigment in the retina that helps with vision in low-light conditions. Improved night vision is a clear sign that the child is receiving sufficient Vitamin A.

C. “My tummy seems so much smaller now” is not an indicator of Vitamin A intake. This statement could be related to changes in overall nutrition or weight, but it does not specifically reflect Vitamin A status.

D. “The bruises on my arms are all gone” is not related to Vitamin A intake. Bruising can be associated with deficiencies in other nutrients, such as Vitamin C or Vitamin K, but not Vitamin A.

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A high-protein diet is prescribed for an adolescent client who is anemic. Which lunch is best for this client?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A malnourished child is receiving several nutritional supplements. Which statement by the child indicates that an adequate amount of Vitamin A is being provided?

Correct Answer is B

Explanation

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