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 C

Explanation

Choice Arationale:
Rye toast with herbal tea is also not appropriate for someone with celiac disease. Rye bread contains gluten, and even though herbal tea is gluten-free, the combination with rye toast would still be harmful to the client.

Choice Brationale:
Graham crackers with peanut butter are not suitable for a client with celiac disease. Graham crackers are typically made from wheat flour, which contains gluten, a protein that individuals with celiac disease must avoid to prevent intestinal damage.

Choice C rationale:
The correct choice is rice cereal with sliced bananas. Rice cereal is naturally gluten-free and therefore safe for individuals with celiac disease. Sliced bananas can add flavor and nutrients to the meal without causing any harm to the client's condition.
Choice D rationale:
Poached eggs with wheat bagel is an unsuitable option. Wheat bagels contain gluten, which is harmful to individuals with celiac disease. Even though poached eggs are gluten-free, the risk of cross-contamination from the wheat bagel would be too high for this client.

A. Exaggerated reflexes. B. Muscle weakness. C. Hypernatremia. D. Weak pulses.

Correct Answer is B

Explanation

The correct answer is choice B: Muscle weakness.

Choice A rationale:

Exaggerated reflexes are not typically associated with water intoxication. They can be a sign of other neurological conditions but not specifically related to the administration of hypotonic IV fluids.

Choice B rationale:

Muscle weakness is a symptom of water intoxication, which can occur due to the dilution of electrolytes, including sodium, in the body when a hypotonic solution is administered.

Choice C rationale:

Hypernatremia, or high levels of sodium in the blood, is the opposite of what occurs in water intoxication. Water intoxication leads to hyponatremia, which is a low sodium concentration in the blood.

Choice D rationale:

Weak pulses are not a direct indicator of water intoxication. While they can be associated with various conditions, they do not specifically point to water intoxication following the administration of a hypotonic IV fluid bolus.

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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 providing breakfast for a client who has celiac disease. Which of the following meal items should the nurse select?

Correct Answer is C

Explanation

A nurse in the emergency department is assessing a young adult client who was administered a hypotonic IV fluid bolus for rehydration after collapsing at an athletic event. Which of the following findings indicates the client is experiencing water intoxication?

Correct Answer is B

Explanation

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