The nurse is attempting to include family in the care of a hospitalized, terminally ill adolescent. Which interventions can be appropriately delegated to family members? (Select all that apply)

Choice A reason: Kwashiorkor primarily affects young children, not adolescents, due to protein deficiency during critical growth periods. Increasing protein intake is the key treatment, making this inaccurate, as it misidentifies the age group most impacted by this nutritional disorder in the in-service discussion.

Choice B reason: Treating Kwashiorkor is complex, requiring gradual protein reintroduction and management of complications, not a simple fix. Increasing protein is central, but the process is intricate, making this incorrect compared to the accurate focus on protein supplementation for recovery in affected children.

Choice C reason: Kwashiorkor results from severe protein deficiency, and increasing protein intake is critical for treatment, restoring growth and tissue repair. This aligns with pediatric nutritional deficiency management, making it the most accurate statement about addressing Kwashiorkor in children during the in-service program.

Choice D reason: Kwashiorkor is caused by protein deficiency, not vitamin D deficiency, which is linked to rickets. Protein supplementation is the primary intervention, making this incorrect, as it misattributes the nutritional cause of Kwashiorkor to a vitamin deficiency in the context of the discussion.

Choice A reason: Vitamin E is not typically deficient in evaporated milk formulas, and supplementation is not standard. Vitamin D is critical to prevent rickets in infants, making this incorrect, as it does not address the primary nutritional gap in homemade evaporated milk formulas for an 8-month-old.

Choice B reason: Evaporated milk lacks sufficient vitamin D, essential for calcium absorption and bone health in an 8-month-old. Ensuring vitamin D supplementation prevents rickets, aligning with pediatric nutrition guidelines, making it the correct ingredient to include in the infant’s homemade formula diet.

Choice C reason: Iron is important but less critical in evaporated milk, which retains some iron, and infants have stores until 6 months. Vitamin D is the primary deficiency, making this incorrect compared to addressing the urgent need for vitamin D in the 8-month-old’s formula.

Choice D reason: Evaporated milk contains adequate calcium, unlike vitamin D, which is deficient and critical for bone development. Ensuring vitamin D inclusion is prioritized, making this incorrect, as calcium supplementation is not the primary concern in the infant’s evaporated milk formula diet.