A school nurse is developing a program to promote healthy eating in school-age children. Which of the following interventions should the nurse include? (Select all that apply)
Have teachers and school personnel model healthy eating behaviors.
Recommend removing complex carbohydrate snacks from school vending machines
Provide fruits and vegetables as snacks at school sporting events.
Assist students in developing a recipe book of healthy foods:
Offer a dessert to students who finish their lunch.
Correct Answer : A,C,D
Rationale:
A. Have teachers and school personnel model healthy eating behaviors: Children learn through observation, and consistent modeling by adults reinforces healthy habits in daily routines. When teachers demonstrate balanced meal choices, students are more likely to adopt similar behaviors. This strategy promotes a supportive environment that normalizes nutritious eating across the school.
B. Recommend removing complex carbohydrate snacks from school vending machines: Complex carbohydrates such as whole-grain items provide sustained energy and support healthy growth. Removing them could encourage replacement with less nutritious options. The goal is to limit high-sugar, high-fat snacks, not to eliminate nutrient-dense foods that benefit the child’s diet.
C. Provide fruits and vegetables as snacks at school sporting events: Offering fresh produce at athletic activities increases children's access to nutritious options during high-energy events. It helps shift the culture away from sugary snacks typically sold at sports venues. This approach supports hydration, recovery, and overall health maintenance in active students.
D. Assist students in developing a recipe book of healthy foods: Engaging children in creating a recipe book encourages active learning and empowers them to make informed food choices. It integrates nutrition education with creativity and helps students build long-term healthy eating skills. Sharing the book can also influence families and the wider community.
E. Offer a dessert to students who finish their lunch: Providing dessert as a reward reinforces unhealthy associations with food and promotes overeating. It teaches children to view sweets as a prize rather than an occasional treat. This approach undermines efforts to build healthy eating patterns and may contribute to long-term poor dietary habits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Forearm: The forearm is generally used for intradermal injections, such as tuberculin or allergy testing, rather than subcutaneous injections. It has limited subcutaneous tissue and is not ideal for medications requiring slower absorption.
B. Vastus lateralis: The vastus lateralis is a preferred site for intramuscular injections, particularly in infants and young children, due to its large muscle mass. It is not the first choice for subcutaneous injections because absorption dynamics differ.
C. Ventrogluteal: The ventrogluteal site is a preferred intramuscular injection site in adults and children but is not commonly used for subcutaneous injections. Its depth and tissue composition make it less suitable for subcutaneous administration.
D. Abdomen: The abdomen is a recommended site for subcutaneous injections because it has a layer of subcutaneous fat that allows for consistent absorption. Areas at least 2 inches away from the umbilicus are preferred to avoid irritation and ensure proper medication delivery.
Correct Answer is A
Explanation
Rationale:
A. Tachycardia: Tachycardia is common in diabetic ketoacidosis (DKA) due to dehydration, electrolyte imbalances, and compensatory mechanisms for hypotension. The heart rate increases to maintain adequate perfusion in response to fluid loss and acidosis.
B. HCO3 in expected range: In DKA, bicarbonate (HCO3) levels are decreased due to metabolic acidosis. The body uses bicarbonate to buffer excess ketone acids, so HCO3 is typically below the normal range, not within expected limits.
C. Increased PaCO2: In DKA, PaCO2 is usually decreased due to Kussmaul respirations (deep, rapid breathing) as the body attempts to compensate for metabolic acidosis by blowing off CO2. Elevated PaCO2 would indicate hypoventilation, which is not characteristic of DKA.
D. Hyperreflexia: DKA does not typically cause hyperreflexia. Neurological changes, if present, are more likely to involve lethargy, confusion, or coma due to severe acidosis, dehydration, and electrolyte imbalances, rather than exaggerated reflexes.
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