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

Juvenile rheumatoid arthritis.

Type 1 diabetes mellitus.

Hypothyroidism.

Hypertension.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Juvenile rheumatoid arthritis is not typically associated with complications of childhood obesity. Juvenile rheumatoid arthritis is an autoimmune disorder affecting the joints, and while obesity can contribute to joint stress, it's not a commonly taught complication of obesity.
Choice B rationale:
Type 1 diabetes mellitus is not directly related to childhood obesity. Type 1 diabetes is an autoimmune condition where the body's immune system attacks and destroys insulin-producing cells in the pancreas. Obesity is more commonly associated with type 2 diabetes, as it can lead to insulin resistance over time.
Choice C rationale:
Hypothyroidism is not a well-established complication of childhood obesity. Hypothyroidism is a condition where the thyroid gland doesn't produce enough thyroid hormone, leading to a slowed metabolism. While obesity can be influenced by thyroid function, it's not a primary complication taught in relation to childhood obesity.
Choice D rationale:
Hypertension is a well-recognized complication of childhood obesity. When a child is obese, the excess adipose tissue can lead to an increase in blood pressure due to increased work that the heart must perform to supply blood to the additional tissues. This can strain the cardiovascular system and potentially lead to hypertension, which is a major risk factor for heart disease and stroke. Childhood obesity can set the stage for long-term cardiovascular issues, making hypertension a key concern.

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Correct Answer is D

Explanation

Choice A rationale:
Total albumin is a valuable indicator of a client's nutritional status, but it has a longer half-life and is slower to reflect short-term changes. It may not accurately reflect the immediate effectiveness of total parenteral nutrition (TPN).
Choice B rationale:
Transferrin is a protein that transports iron in the body and is often used to assess iron deficiency. It is not a specific indicator of the effectiveness of TPN in the short term.
Choice C rationale:
Hemoglobin is a protein found in red blood cells and is responsible for oxygen transport. While it can be affected by nutritional status, it is not the most specific indicator of the effectiveness of TPN in the short term.
Choice D rationale:
Prealbumin (also known as transthyretin) is the best indicator for the nurse to monitor for the short-term effectiveness of TPN. Prealbumin has a short half-life of approximately 2 days, making it sensitive to changes in nutritional status and response to TPN. A decrease in prealbumin levels indicates inadequate nutritional support, while an increase suggests improved nutritional intake.

A. Almonds. B. Cheddar cheese. C. Whole-wheat bread. D. Broccoli.

Correct Answer is D

Explanation

Choice A rationale:
Almonds do not contain a high percentage of water. They are a dry and crunchy snack with minimal water content, making them an inappropriate choice for maintaining hydration.
Choice B rationale:
Cheddar cheese is not a food with a high water content. It is a dairy product that has been processed and does not provide a significant source of water to help prevent dehydration.
Choice C rationale:
While whole-wheat bread may have some water content, it is not among the options with the greatest percentage of water. The moisture in bread is not as significant as in other options.
Choice D rationale:
Broccoli contains a substantial amount of water and is an excellent choice for maintaining hydration. It is a water-rich vegetable that can contribute to the body's water needs, making it a suitable recommendation for preventing dehydration.

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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 complications should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's laboratory results for the effectiveness of total parenteral nutrition (TPN). Which of the following laboratory values is the best indicator for the nurse to monitor for the short-term effectiveness of the TPN?

Correct Answer is D

Explanation

A nurse is educating the parent of a school-age child about the importance of maintaining water intake to prevent dehydration. Which of the following food choices should the nurse recommend as containing the greatest percentage of water?

Correct Answer is D

Explanation

A nurse is initiating continuous enteral feedings for a client who has a new gastrostomy tube. Which of the following actions should the nurse take?

A nurse is reviewing the medical record of a client who has AIDS and is malnourished. The client has been receiving total parenteral nutrition (TPN). Which of the following findings should the nurse identify as a therapeutic response to the TPN?

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