A nurse is providing breakfast for a client who has celiac disease. Which of the following meal items should the nurse select?

Choice A rationale:
Temperature 38.4°C (101.1°F) An elevated temperature could indicate an infection, which would not be a therapeutic response to total parenteral nutrition (TPN). TPN is provided to support the client's nutrition and help improve their condition; an elevated temperature might suggest ongoing illness.
Choice B rationale:
BMI 18.5 A BMI of 18.5 is considered within the normal range, indicating that the client's malnutrition is improving due to the TPN therapy. A higher BMI suggests a better nutritional status, which is a therapeutic response to the intervention.
Choice C rationale:
BUN 25 mg/dL Blood Urea Nitrogen (BUN) levels can be affected by various factors, including hydration status, renal function, and protein intake. While BUN levels might be monitored to assess renal function and overall nutritional status, a specific BUN level of 25 mg/dL does not directly indicate a therapeutic response to TPN.
Choice D rationale:
Hgb 10 g/dL Hemoglobin (Hgb) level of 10 g/dL is within the normal range for hemoglobin levels. Adequate nutrition, as provided by TPN, can support the production of red blood cells and maintain hemoglobin levels. Therefore, an Hgb level of 10 g/dL can be considered a positive therapeutic response to TPN.

Choice A rationale:
Allowing the toddler to feed himself is an important aspect of promoting autonomy and developing fine motor skills. It encourages self-sufficiency and exploration of different food textures. However, close supervision is necessary to ensure the toddler's safety during feeding.
Choice B rationale:
Avoiding snacks between meals is not the most appropriate instruction for a toddler's nutritional needs. Toddlers have smaller stomach capacities and higher energy requirements due to their rapid growth. Healthy snacks can help meet their nutritional needs and prevent excessive hunger between meals.
Choice C rationale:
Providing different food for the toddler than the parents is not recommended. Ideally, toddlers should be exposed to the same nutritious foods that the family consumes. This practice helps establish healthy eating habits and exposes the toddler to a variety of foods.
Choice D rationale:
Setting meal times immediately after physical activity is not necessarily beneficial. While regular physical activity is important for toddlers, scheduling meals immediately after activity might lead to poor appetite or discomfort. It's generally better to ensure the toddler is well-rested and hungry before meals.