The parent of an adolescent has called to talk to the pediatric nurse over concern that her daughter is not getting proper nutrition now that she has started following a vegetarian diet. Which response should the nurse prioritize for this parent?
A vegetarian diet is unhealthy for growing bodies, and teens are too immature to make a healthy choice.
Lacto-ovo vegetarian diets are acceptable for teens but until the body's growth cycle is complete, she needs some egg and dairy products for good health.
Vegetarian diets can be healthy: ensure she includes whole-grain products, legumes, nuts, seeds, and soy dairy substitutes.
Vegetarian diets can be healthy for teens but should be supplemented with protein drinks and megavitamins.
The Correct Answer is C
Choice A reason: Stating vegetarian diets are unhealthy and teens are too immature dismisses the viability of well-planned vegetarianism, which can meet nutritional needs. Emphasizing diverse plant-based foods ensures balanced nutrition, making this overly restrictive and incorrect for addressing the parent’s concern about the adolescent’s vegetarian diet.
Choice B reason: Requiring lacto-ovo vegetarianism assumes eggs and dairy are essential, but vegan diets with soy substitutes can suffice. Recommending whole grains, legumes, and nuts addresses broader nutrient needs, making this less inclusive and incorrect compared to supporting a flexible, balanced vegetarian diet for the teen.
Choice C reason: Vegetarian diets, when including whole grains, legumes, nuts, seeds, and soy substitutes, provide adequate protein, vitamins, and minerals for teens. This response reassures the parent while offering practical guidance, aligning with pediatric nutrition guidelines, making it the prioritized choice for ensuring proper nutrition on a vegetarian diet.
Choice D reason: Suggesting protein drinks and megavitamins implies vegetarian diets are inherently deficient, which is unnecessary with proper food choices. Whole grains and legumes meet nutritional needs naturally, making this overly reliant on supplements and incorrect compared to promoting a balanced vegetarian diet for the adolescent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Saying the flowers aren’t alive and removing them avoids the child’s question, missing a chance to discuss death. Asking about dying opens dialogue, making this evasive and incorrect compared to the nurse’s opportunity to engage the dying child in a meaningful conversation.
Choice B reason: Acknowledging the flowers’ death and asking what dying is like invites the child to share thoughts, facilitating discussion about their own mortality. This aligns with pediatric palliative care communication, making it the most appropriate response to encourage the child to open up about dying.
Choice C reason: Calling the flowers uncheerful and removing them dismisses the child’s observation, closing off discussion about death. Asking about dying fosters dialogue, making this superficial and incorrect compared to the nurse’s role in supporting the dying child’s emotional expression and exploration.
Choice D reason: Offering to trash the flowers ignores the child’s reference to death, missing a chance to explore their thoughts. Asking about dying encourages openness, making this abrupt and incorrect compared to the nurse’s opportunity to facilitate a conversation about death with the child.
Correct Answer is D
Explanation
Choice A reason: Increasing protein calories doesn’t address malabsorption causing constipation and diarrhea in cystic fibrosis. Pancreatic enzymes improve nutrient absorption, making this irrelevant and incorrect compared to the need to correct digestive issues due to enzyme deficiency in the child’s dietary management.
Choice B reason: Saturated fat doesn’t resolve malabsorption-related constipation and diarrhea in cystic fibrosis and may worsen symptoms. Pancreatic enzymes correct enzyme deficiency, making this inappropriate and incorrect compared to the dietary adjustment needed to manage the child’s gastrointestinal symptoms effectively.
Choice C reason: Iodized salt supports hydration in cystic fibrosis but doesn’t address malabsorption causing diarrhea and constipation. Pancreatic enzymes target digestive issues, making this incorrect, as it fails to correct the underlying enzyme deficiency responsible for the child’s gastrointestinal symptoms.
Choice D reason: Pancreatic enzymes improve fat and nutrient absorption in cystic fibrosis, reducing constipation and diarrhea due to malabsorption. This aligns with pediatric cystic fibrosis management, making it the correct substance to increase in the child’s diet to address the reported gastrointestinal symptoms.
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