To help prevent urinary tract infections, which instruction should the nurse provide?

Choice A reason:

Sun-dried tomatoes with wheat pasta and iced tea do not provide a complete protein. While wheat pasta contains some protein, it lacks certain essential amino acids. Combining it with sun-dried tomatoes does not create a complete protein source. Complete proteins contain all nine essential amino acids, which are necessary for the body’s functions.

Choice B reason:

Lentil soup with wild rice and orange-pineapple juice is a good combination of foods, but it does not provide a complete protein. Lentils and wild rice are both excellent sources of protein, but they do not contain all the essential amino acids when consumed together. They need to be paired with other protein sources to form a complete protein.

Choice C reason:

Baked acorn squash, whole grain rolls, and lemonade do not provide a complete protein. While whole grain rolls contain some protein, they do not have all the essential amino acids. This meal lacks a combination of foods that would create a complete protein source.

Choice D reason:

A whole wheat peanut butter sandwich, banana, and milk provide a complete protein. Whole wheat bread and peanut butter together form a complete protein, as they complement each other’s amino acid profiles. Adding milk, which is a complete protein on its own, ensures that the meal contains all the essential amino acids. This selection indicates that the client understands how to combine foods to meet their protein needs as a lacto-ovo-vegetarian.

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.