A nurse is teaching the family of a school-age child who is obese about complications of childhood obesity. Which of the following conditions should the nurse include in the teaching?

Hypothyroidism

Juvenile rheumatoid arthritis

Type 1 diabetes mellitus

Hypertension

Answer and Explanation

The Correct Answer is D

A.   Hypothyroidism is a condition characterized by an underactive thyroid gland and can contribute to weight gain, but it is not a direct complication of childhood obesity.

B.   Juvenile rheumatoid arthritis is a chronic inflammatory disorder that affects the joints and is not directly related to obesity.
C.   Type 1 diabetes mellitus is an autoimmune condition in which the pancreas produces little or no insulin, leading to high blood sugar levels. While obesity is a risk factor for type 2 diabetes, it is not a direct complication of childhood obesity.
D.   Hypertension, or high blood pressure, is a known complication of obesity in both children and adults. Excess body weight can increase the workload on the heart and blood vessels, leading to elevated blood pressure.

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Correct Answer is D

Explanation

Choice A Rationale: TPN should be removed from the refrigerator 30 minutes to an hour before use to allow it to reach room temperature, reducing the risk of crystallization and patient discomfort.

Choice B Rationale: The dressing around the IV site for TPN should be changed every 48 to 72 hours, not weekly, to prevent infection and ensure the integrity of the IV site.

Choice C Rationale: IV tubing for TPN solutions should be changed more frequently than every 72 hours, typically every 24 hours, to minimize the risk of bacterial contamination and infection.

Choice D Rationale: TPN solutions are at risk for bacterial growth, so any remaining solution after 24 hours should be discarded to prevent infection.

A. "Add butter to vegetables." B. "Avoid desserts made with eggs." C. Increase fluid intake with meals." D. "Prepare hot chocolate with water instead of milk."

Correct Answer is C

Explanation

A. Adding butter to vegetables would increase the calorie content without necessarily providing significant nutritional benefits for someone with wasting syndrome.
B. Avoiding desserts made with eggs may limit protein intake, which is important for individuals with wasting syndrome who may be experiencing muscle wasting.

C. Increasing fluid intake with meals can help prevent dehydration, which is important for individuals with AIDS-related wasting syndrome, as dehydration can exacerbate symptoms and contribute to further weight loss.
D. Preparing hot chocolate with water instead of milk may decrease calorie and fat intake, but it does not address the need for adequate hydration, which is crucial for individuals with wasting syndrome.

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A nurse is teaching the family of a school-age child who is obese about complications of childhood obesity. Which of the following conditions should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has a new prescription for total parenteral nutrition (TPN). Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

A nurse is providing nutritional teaching to a client who has AIDS-related wasting syndrome. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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