One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are “cold foods.” Which intervention should the nurse implement first?

Request the dietary unit bring a new tray and provide it prior to the food getting cold.

Ask the client about her nutritional preferences and beliefs.

Teach the client the importance of a well-balanced diet.

Place the client’s tray in the microwave and heat it to a hotter temperature.

Answer and Explanation

The Correct Answer is B

Choice B reason:

Asking the client about her nutritional preferences and beliefs is the first intervention the nurse should implement. Understanding the client’s cultural and personal preferences is crucial for providing culturally competent care. This approach shows respect for the client’s beliefs and helps the nurse tailor dietary recommendations that the client is more likely to accept and follow.

Choice A reason:

Requesting the dietary unit to bring a new tray and provide it prior to the food getting cold addresses the immediate issue of the food being perceived as “cold,” but it does not address the underlying cultural beliefs and preferences. It is important to first understand the client’s needs before making changes to the meal.

Choice C reason:

Teaching the client the importance of a well-balanced diet is important, but it should come after understanding the client’s cultural preferences and beliefs. Providing education without considering the client’s perspective may not be effective and could be perceived as dismissive.

Choice D reason:

Placing the client’s tray in the microwave and heating it to a hotter temperature may address the immediate concern but does not consider the client’s cultural beliefs about “cold foods.” It is essential to first understand the client’s preferences before making adjustments.

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Correct Answer is C

Explanation

Choice C reason:

A ham and cheese sandwich is the best recommendation for a client with moderate hyponatremia because it contains higher levels of sodium, which can help address the sodium deficiency. Hyponatremia is a condition characterized by low sodium levels in the blood, and consuming foods with higher sodium content can help restore balance.

Choice A reason:

A fruit salad with bananas is healthy but does not provide sufficient sodium to address hyponatremia. While bananas are rich in potassium, they do not help with the sodium deficiency that needs to be corrected.

Choice B reason:

A lettuce and tomato salad is low in sodium and does not address the client’s need for increased sodium intake. While it is a healthy choice, it is not suitable for managing hyponatremia.

Choice D reason:

A baked sweet potato is nutritious but does not provide the necessary sodium to correct hyponatremia. The focus should be on foods that can help increase sodium levels in the blood.

A. Instruct the family about the need to adjust the insulin dose before exercise. B. Recommend an increase in caloric intake to avoid excessive weight loss. C. Suggest a less strenuous activity to reduce the risk for dehydration. D. Reassure the parents that increased physical activity reduces the risk for diabetes.

Correct Answer is D

Explanation

Choice A reason:

Prediabetes in children is typically managed with lifestyle interventions, such as increased physical activity and dietary control, rather than insulin therapy.

Choice B reason:

Recommending an increase in caloric intake to avoid excessive weight loss is important but not the primary concern in this scenario. While maintaining a balanced diet is crucial for children with prediabetes, the immediate focus should be on managing blood glucose levels during physical activity. Increased caloric intake can help support the child’s energy needs, but it does not directly address the potential risks associated with exercise-induced hypoglycemia. Therefore, while caloric intake adjustments may be necessary, they should be secondary to ensuring proper insulin management.

Choice C reason:

Suggesting a less strenuous activity to reduce the risk for dehydration is not the best approach. Physical activity is beneficial for children with prediabetes as it helps improve insulin sensitivity and overall health. Instead of limiting the child’s activity, it is more effective to educate the family on proper hydration strategies and how to manage blood glucose levels during exercise. Encouraging regular physical activity, such as soccer, can help reduce the risk of developing type 2 diabetes and promote a healthy lifestyle. Proper hydration and monitoring can mitigate the risk of dehydration without restricting the child’s participation in sports.

Choice D reason:

Engaging in regular physical activity is a cornerstone in managing prediabetes in children. It enhances insulin sensitivity and helps maintain healthy blood glucose levels. The American Academy of Pediatrics recommends that all children, including those with diabetes mellitus, engage in at least 60 minutes of daily physical activity starting at 5 years of age. Therefore, encouraging the child to join a soccer team aligns with these guidelines and can be beneficial in reducing the risk of progressing to type 2 diabetes.

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One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are “cold foods.” Which intervention should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning food selections with a client who has moderate hyponatremia. Which food choice should the nurse recommend to this client?

Correct Answer is C

Explanation

The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which action is best for the nurse to implement?

Correct Answer is D

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?

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