A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. Which of the following foods should the nurse recommend?
1 cup cooked rice
1/2 slice of white bread
1 cup ready-to-eat cereal flakes
1/2 white flour tortilla
The Correct Answer is C
Choice A reason: This choice is incorrect because 1 cup of cooked rice provides more than 1 oz of grains. According to the U.S. Department of Agriculture (USDA), one-ounce equivalent of grains equals one slice of bread, one cup of ready-to-eat cereal, or half a cup of cooked rice, pasta, or cereal. Therefore, 1 cup of cooked rice provides about 2 oz of grains.
Choice B reason: This choice is incorrect because 1/2 slice of white bread provides less than 1 oz of grains. As explained above, one-ounce equivalent of grains equals one slice of bread, so 1/2 slice of white bread provides only 0.5 oz of grains.
Choice C reason: This choice is correct because 1 cup of ready-to-eat cereal flakes provides exactly 1 oz of grains. As explained above, the one-ounce equivalent of grains equals one cup of ready-to-eat cereal, so 1 cup of ready-to-eat cereal flakes provides 1 oz of grains.
Choice D reason: This choice is incorrect because 1/2 white flour tortilla provides less than 1 oz of grains. According to the USDA, one-ounce equivalent of grains equals one small tortilla (6 inches in diameter), so 1/2 white flour tortilla provides only about 0.4 oz of grains.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Reducing environmental stimuli can help decrease the discomfort and agitation of a child who has meningitis, as they may experience headache, photophobia, and neck stiffness. However, this action is not the priority, as it does not address the cause of the infection or prevent complications.
Choice B: Documenting intake and output can help monitor the fluid balance and hydration status of a child who has meningitis, as they may have fever, vomiting, and decreased oral intake. However, this action is not the priority, as it does not address the cause of the infection or prevent complications.
Choice C: Administering antibiotics when available can help treat the bacterial infection that causes meningitis and prevent serious complications such as brain damage, hearing loss, or death. This action is the priority, as it can save the child's life and improve their outcome.
Choice D: Maintaining seizure precautions can help protect the child from injury and provide safety measures in case of a seizure, as meningitis can cause increased intracranial pressure and seizures. However, this action is not the priority, as it does not address the cause of the infection or prevent complications.
Correct Answer is C
Explanation
Choice A: This statement does not indicate a need for further teaching, as it is correct that insulin can be injected anywhere there is adipose tissue. Adipose tissue is the layer of fat under the skin that can absorb insulin and prevent damage to muscles or organs. The common sites for insulin injection are the abdomen, thighs, buttocks, or upper arms.
Choice B: This statement does not indicate a need for further teaching, as it is correct that the child should rotate sites after 5 injections in one area. Rotating sites can prevent lipodystrophy, which is a condition that causes abnormal changes in fat tissue due to repeated injections. Lipodystrophy can affect the appearance and absorption of insulin in the affected area.
Choice C: This statement indicates a need for further teaching, as it is incorrect that the child should aspirate before injecting the insulin. Aspiration is the process of pulling back on the plunger of the syringe to check for blood before injecting the medication. Aspiration is not recommended for insulin injection, as it can cause pain, bruising, or leakage of insulin from the injection site.
Choice D: This statement does not indicate a need for further teaching, as it is correct that insulin should be injected at a 90-degree angle. Injecting insulin at a 90-degree angle can ensure that the medication reaches the adipose tissue and prevents skin irritation or muscle damage. The only exception is if the child has very thin skin or uses very short needles, in which case they may inject at a 45-degree angle.
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