The nurse has determined that an 8-year-old girl is at risk for being overweight. Which intervention should the nurse include in the care plan?

Discussing the influence of peers on the child's diet.

Asking the parents who they want to work with the child.

Determining the need for additional caloric intake.

Interviewing the parents about their eating habits.

Answer and Explanation

The Correct Answer is A

A.   Discussing the influence of peers on the child's diet can help identify potential social factors contributing to unhealthy eating habits and enable strategies to counteract them.
B.   While involving the parents in the care plan is important, asking who they want to work with might not directly address the child's risk of being overweight.
C.   Determining the need for additional caloric intake might not be the primary concern for a child at risk for being overweight; rather, it's about healthy eating habits and portion control.
D.   Interviewing the parents about their eating habits could be beneficial for understanding the family's overall approach to nutrition but may not directly address the child's weight risk and potential interventions.

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Correct Answer is B

Explanation

A. Correctly identifies the need to inform the doctor if the child's temperature is not controlled.
B. Overhydration can be a concern; drinking such a significant volume of water every 30 minutes might not be appropriate, especially with a respiratory infection.
C. Properly involves checking the child's blood sugar regularly as required in diabetes management.
D. Understands the need to report changes in breathing or signs of confusion, which can indicate worsening symptoms.

A. "This is a condition known as echolalia and can be corrected if you work with your daughter on language skills." B. "This is a normal common speech pattern in the 3-year-old and is called telegraphic speech." C. "This is a condition known as stuttering and it is a normal pattern of speech development in the toddler." D. "This is considered a developmental delay in the 3-year-old, and we should consult a speech therapist."

Correct Answer is B

Explanation

A. Echolalia refers to the repetition of words or phrases without understanding their meanings and is not what the child is demonstrating.
B. Telegraphic speech is a common speech pattern in toddlers where they use short, concise sentences omitting articles and other nonessential words, as seen in the child's statement "Want go potty."
C. Stuttering involves disruptions in the flow of speech, such as repetitions or prolongations of sounds, which is different from the broken speech patterns observed in telegraphic speech.
D. There's no indication of a developmental delay based on the child's speech pattern, so consulting a speech therapist might not be warranted at this stage.

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The nurse has determined that an 8-year-old girl is at risk for being overweight. Which intervention should the nurse include in the care plan?

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