A high-protein diet is prescribed for an adolescent client who is anemic. Which lunch is best for this client?

A tuna sandwich, French fries, and a glass of milk.

A cheese sandwich, an apple, and a soda.

An egg salad sandwich, soda, and chocolate cake.

A hot dog, potato chips, and a glass of milk.

Answer and Explanation

The Correct Answer is A

Choice A reason:

A tuna sandwich, French fries, and a glass of milk provide a high-protein meal that is beneficial for an adolescent client who is anemic. Tuna is a rich source of protein and iron, both of which are important for addressing anemia. Milk adds additional protein and calcium, supporting overall health. While French fries are not the healthiest option, the protein content of the meal is the primary focus.

Choice B reason:

A cheese sandwich, an apple, and a soda provide some protein from the cheese, but the overall protein content is lower compared to the tuna sandwich. Additionally, soda is high in sugar and does not contribute to the nutritional needs of an anemic client.

Choice C reason:

An egg salad sandwich, soda, and chocolate cake provide protein from the eggs, but the meal includes high-sugar items like soda and chocolate cake. These items do not support the nutritional needs of an anemic client and can contribute to unhealthy eating habits.

Choice D reason:

A hot dog, potato chips, and a glass of milk provide some protein from the hot dog and milk, but hot dogs are high in saturated fats and sodium. Potato chips are also high in unhealthy fats and do not contribute to the nutritional needs of an anemic client. The overall meal is less balanced compared to the tuna sandwich option.

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Correct Answer is D

Explanation

Choice A reason:

Eating fatty, sweetened snacks 1 hour before the game is not advisable. These types of snacks can cause a rapid spike in blood sugar followed by a crash, leading to decreased energy levels during the game. Additionally, fatty foods can be hard to digest and may cause gastrointestinal discomfort, which can negatively impact athletic performance.

Choice B reason:

Eating sodium-enriched foods immediately before the game is not recommended. While sodium is important for maintaining electrolyte balance, consuming high-sodium foods right before physical activity can lead to dehydration and increased thirst. It is better to maintain a balanced intake of electrolytes throughout the day rather than loading up on sodium just before the game.

Choice C reason:

Eating a high-protein meal 30 minutes before the game is not ideal. Protein takes longer to digest and does not provide the quick energy needed for immediate physical activity. Consuming a high-protein meal too close to the game can lead to discomfort and sluggishness, as the body diverts energy to digestion rather than athletic performance.

Choice D reason:

Eating a light high-carbohydrate meal 3 hours before the game is the best recommendation. Carbohydrates are the body’s primary source of energy, and consuming them a few hours before the game ensures that the body has time to digest and convert them into usable energy. This timing helps maintain steady blood sugar levels and provides sustained energy throughout the game, enhancing athletic performance.

A. Low weight as determined from a height/weight comparison chart. B. Hemoglobin (Hgb) of 11.8 g/dL (118 g/L) and hematocrit (Hct) of 34% (0.34). C. Decreased lean body mass compared to results of 10 years ago. D. Serum albumin of 3 g/dL (30 g/L) and serum transferrin of 180 mg/dL (18 g/L).

Correct Answer is D

Explanation

A. Low weight as determined from a height/weight comparison chart can indicate malnutrition, but it is not as specific as biochemical markers. Weight alone does not provide a complete picture of nutritional status, as it can be influenced by various factors such as fluid retention or loss of muscle mass.

B. Hemoglobin (Hgb) of 11.8 g/dL (118 g/L) and hematocrit (Hct) of 34% (0.34) are below the normal reference ranges, indicating anemia. Anemia can result from various nutritional deficiencies, including iron, vitamin B12, or folate deficiencies. However, it does not provide a comprehensive assessment of overall nutritional status.

C. Decreased lean body mass compared to results of 10 years ago suggests muscle wasting, which can be a sign of malnutrition. However, it is not as specific as biochemical markers like serum albumin and transferrin levels, which provide more direct evidence of protein-energy malnutrition.

D. Serum albumin of 3 g/dL (30 g/L) and serum transferrin of 180 mg/dL (18 g/L) are below the normal reference ranges, indicating protein-energy malnutrition. Low levels of these proteins are strong indicators of poor nutritional status and are commonly used to assess malnutrition in clinical settings.

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A high-protein diet is prescribed for an adolescent client who is anemic. Which lunch is best for this client?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Correct Answer is D

Explanation

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