A nurse is providing teaching about food allergies to the parents of a toddler. Which of the following foods should the nurse identify as the highest risk for allergies in toddlers?
Citrus fruits.
Bananas.
Milk.
Eggs.
The Correct Answer is D
Choice A rationale:
Citrus fruits. Citrus fruits are generally not associated with high allergy risk, especially in comparison to some other allergenic foods. While any food has the potential to cause an allergic reaction, citrus fruits are less likely to be a significant concern for toddlers in terms of allergies. They are rich in vitamin C and are generally considered healthy choices for most individuals.
Choice B rationale:
Bananas. Bananas are also not commonly associated with high allergenicity. They are typically well-tolerated by most individuals and are often recommended as an early solid food for infants. The risk of allergies to bananas is relatively low, making them a safe choice for toddlers.
Choice C rationale:
Milk. While milk allergies are more common in infants and young children, they tend to decrease with age. Additionally, the question refers to toddlers, who are past the age where milk is typically introduced. While milk allergies can occur, they are not usually the highest risk for allergies in toddlers.
Choice D rationale:
Eggs. Eggs are known to be one of the top allergenic foods, especially in young children. They can trigger severe allergic reactions, including anaphylaxis, in susceptible individuals. The protein in egg whites is often responsible for these reactions. Because of the high allergy risk associated with eggs, they are the highest concern among the options listed for allergies in toddlers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is B
Explanation
Choice A rationale:
A temperature of 37.2°C (99°F) is within the normal range (approximately 36.5°C to 37.5°C or 97.7°F to 99.5°F) and does not specifically indicate fluid volume deficit. It's important to consider this value along with other findings.
Choice B rationale:
(Correct Choice) A pulse rate of 118/min is indicative of tachycardia, which can be a sign of fluid volume deficit. When the body is experiencing a decrease in fluid volume, the heart rate often increases as a compensatory mechanism to maintain adequate circulation. Tachycardia helps to pump a reduced blood volume more rapidly to vital organs.
Choice C rationale:
A blood pressure of 152/90 mm Hg is elevated but does not solely indicate a fluid volume deficit. While low blood pressure can be a sign of dehydration, high blood pressure does not necessarily correlate directly with fluid volume status.
Choice D rationale:
Central venous pressure (CVP) of 25 mm Hg is elevated. CVP reflects the pressure in the vena cava and right atrium, indicating the amount of blood returning to the heart. An elevated CVP might be seen in fluid volume excess or right-sided heart failure, not fluid volume deficit.
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