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Which iron-rich foods should the nurse recommend for a toddler-age client who is diagnosed with iron deficiency anemia? (Select all that apply

Broccoli

Chicken

Lean Steak

Carrots

Whole Milk

Answer and Explanation

Correct Answer : B,C

Iron-rich foods that should be recommended for a toddler with iron deficiency anemia include:

B. Chicken: Chicken, especially dark meat, is a good source of heme iron, which is easily absorbed by the body.

C. Lean Steak: Lean beef, such as steak, is also a good source of heme iron.

Non-heme iron from plant-based sources is also beneficial but is generally less easily absorbed. So, the following options are non-heme iron sources:

A. Broccoli: While broccoli contains iron, it is a non-heme iron source. It can still contribute to iron intake, but it's not as efficient as heme iron from animal sources.

D. Carrots: Similar to broccoli, carrots contain non-heme iron, but they can be part of a balanced diet for increasing iron intake.

E. Whole Milk: Whole milk can interfere with iron absorption in the body. It's not recommended for children with iron deficiency anemia, as it can make the condition worse. It's better to choose lower-fat milk or alternative milk sources.

Additionally, other sources of iron-rich foods for toddlers can include fortified cereals, legumes (like lentils and beans), and fortified infant formulas if needed. Always consult with a healthcare provider for specific dietary recommendations based on the child's condition.

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Correct Answer is A

Explanation

A. Considering the presence of diabetes but treating the child the same as the other children B. Limiting fluid intake during school hours C. Asking the child each day what was eaten for breakfast D. Checking several times a day for injuries because of participation in the physical education program

Correct Answer is C

Explanation

Option A ("Considering the presence of diabetes but treating the child the same as the other children") is not the best approach because children with diabetes require individualized care and monitoring.

Option B ("Limiting fluid intake during school hours") is not an appropriate intervention and could potentially worsen the child's diabetes management. Hydration is important, and fluid intake should be based on the child's needs.

Option C. Asking the child each day what was eaten for breakfast.

Children with type 1 diabetes, especially those prone to morning hypoglycemic episodes, can benefit from close monitoring of their dietary choices and blood glucose levels. Asking the child what was eaten for breakfast allows the school nurse to assess whether the child had an appropriate meal and whether the insulin dosage may need adjustment. It helps identify potential factors contributing to hypoglycemia and provides valuable information for the child's diabetes management.

Option D ("Checking several times a day for injuries because of participation in the physical education program") is a good practice but does not specifically address the management of morning hypoglycemia. It is essential to monitor the child's safety during physical activities, but addressing breakfast choices and insulin management is more directly related to managing morning hypoglycemia.

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