One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are “cold foods.” Which intervention should the nurse implement first?

Request the dietary unit bring a new tray and provide it prior to the food getting cold.

Ask the client about her nutritional preferences and beliefs.

Teach the client the importance of a well-balanced diet.

Place the client’s tray in the microwave and heat it to a hotter temperature.

Answer and Explanation

The Correct Answer is B

Choice B reason:

Asking the client about her nutritional preferences and beliefs is the first intervention the nurse should implement. Understanding the client’s cultural and personal preferences is crucial for providing culturally competent care. This approach shows respect for the client’s beliefs and helps the nurse tailor dietary recommendations that the client is more likely to accept and follow.

Choice A reason:

Requesting the dietary unit to bring a new tray and provide it prior to the food getting cold addresses the immediate issue of the food being perceived as “cold,” but it does not address the underlying cultural beliefs and preferences. It is important to first understand the client’s needs before making changes to the meal.

Choice C reason:

Teaching the client the importance of a well-balanced diet is important, but it should come after understanding the client’s cultural preferences and beliefs. Providing education without considering the client’s perspective may not be effective and could be perceived as dismissive.

Choice D reason:

Placing the client’s tray in the microwave and heating it to a hotter temperature may address the immediate concern but does not consider the client’s cultural beliefs about “cold foods.” It is essential to first understand the client’s preferences before making adjustments.

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Correct Answer is D

Explanation

Choice A reason:

Prediabetes in children is typically managed with lifestyle interventions, such as increased physical activity and dietary control, rather than insulin therapy.

Choice B reason:

Recommending an increase in caloric intake to avoid excessive weight loss is important but not the primary concern in this scenario. While maintaining a balanced diet is crucial for children with prediabetes, the immediate focus should be on managing blood glucose levels during physical activity. Increased caloric intake can help support the child’s energy needs, but it does not directly address the potential risks associated with exercise-induced hypoglycemia. Therefore, while caloric intake adjustments may be necessary, they should be secondary to ensuring proper insulin management.

Choice C reason:

Suggesting a less strenuous activity to reduce the risk for dehydration is not the best approach. Physical activity is beneficial for children with prediabetes as it helps improve insulin sensitivity and overall health. Instead of limiting the child’s activity, it is more effective to educate the family on proper hydration strategies and how to manage blood glucose levels during exercise. Encouraging regular physical activity, such as soccer, can help reduce the risk of developing type 2 diabetes and promote a healthy lifestyle. Proper hydration and monitoring can mitigate the risk of dehydration without restricting the child’s participation in sports.

Choice D reason:

Engaging in regular physical activity is a cornerstone in managing prediabetes in children. It enhances insulin sensitivity and helps maintain healthy blood glucose levels. The American Academy of Pediatrics recommends that all children, including those with diabetes mellitus, engage in at least 60 minutes of daily physical activity starting at 5 years of age. Therefore, encouraging the child to join a soccer team aligns with these guidelines and can be beneficial in reducing the risk of progressing to type 2 diabetes.

A. Alert the adult protection agency. B. Call the client’s nearest relative. C. Provide budgeting strategies. D. Consult with social services.

Correct Answer is D

Explanation

Choice D reason:

Consulting with social services is the best action because social services can provide comprehensive support, including financial assistance, access to meal programs, and other resources to help the client manage both their nutritional and medical needs. Social workers are equipped to address the underlying issues causing the client to skip meals, ensuring they receive the necessary support to improve their health and well-being.

Choice A reason:

Alerting the adult protection agency is a serious step that is typically reserved for situations involving abuse or neglect. While the client’s situation is concerning, it does not necessarily indicate abuse or neglect. The focus should be on providing support and resources to address the client’s needs.

Choice B reason:

Calling the client’s nearest relative may provide some immediate support, but it does not address the root cause of the client’s financial difficulties. Relatives may not have the resources or knowledge to provide the necessary assistance. Consulting with social services offers a more comprehensive solution.

Choice C reason:

Providing budgeting strategies can be helpful, but it may not be sufficient to address the client’s financial challenges. The client may need more substantial support, such as access to food assistance programs or financial aid, which social services can provide.

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One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are “cold foods.” Which intervention should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which action is best for the nurse to implement?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are “cold foods.” Which intervention should the nurse implement first?