After a tonsillectomy, a 7-year-old girl begins to swallow excessively.
Which intervention is most important for the practical nurse to implement?

Choice A rationale

Cheese is a good source of calcium and protein, but it is not a primary source of iron. Iron is essential for hemoglobin synthesis, and the client's hemoglobin and hematocrit levels are below normal ranges [Hemoglobin, pregnant female > 11 g/dL ( > 110 g/L); Hematocrit, pregnant female > 33% ( > 0.33 volume fraction)], indicating iron deficiency anemia.

Choice B rationale

Cauliflower is a cruciferous vegetable rich in vitamin C and fiber, but its iron content is relatively low. While vitamin C aids in iron absorption, cauliflower itself does not provide a significant amount of dietary iron to effectively address the client's anemic status.

Choice C rationale

Carrots are well-known for their beta-carotene content, a precursor to vitamin A, and provide fiber. However, carrots are not a significant source of iron. To combat iron deficiency anemia during pregnancy, foods rich in heme iron or non-heme iron with good bioavailability are required.

Choice D rationale

Chicken, particularly the dark meat, is a good source of heme iron, which is more readily absorbed by the body compared to non-heme iron found in plant-based foods. Given the client's anemic status, increasing dietary intake of iron-rich foods like chicken is crucial for improving hemoglobin and hematocrit levels.

Choice A rationale

Preventing further disability is often challenging with established developmental disabilities, which typically involve permanent neurological or genetic conditions. Interventions focus on managing symptoms and optimizing function rather than halting the underlying progression, as the primary pathology is often non-progressive or already expressed.

Choice B rationale

While rehabilitation is an integral part of care for children with developmental disabilities, it serves as a means to an end, aiming to improve function and quality of life. The ultimate goal extends beyond mere rehabilitation to encompass holistic development and independent functioning.

Choice C rationale

The primary goal for a child with a developmental disability is to empower them to reach their highest possible level of physical, cognitive, social, and emotional functioning. This involves individualized interventions, therapies, and educational support tailored to their specific needs and strengths, fostering independence and participation.

Choice D rationale

Promoting social acceptability is an important aspect of care, as it contributes to the child's quality of life and integration into society. However, it is a secondary objective, stemming from the broader goal of helping the child develop their full potential and navigate social interactions effectively.