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Pearson for Peds exam 3

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Pearson for Peds—Exam 3 1. The nurse is teaching an adolescent client who is preparing for a long-distance running event about eating for competition. The nurse explains that which type of meal is... most appropriate before the competition?  Pancakes with fresh strawberries, orange juice, wheat toast, and fresh melon slices Explanation: A meal of sausage, eggs, and gravy is high in fat and protein. The diet before competition should be high in complex carbohydrates and low in fat and protein. Pancakes, toast and sources of fruit reflect the best selections to meet this dietary balance. Fortified yogurt and a protein bar are high in protein but low in carbohydrate. A cheese omelet and bacon are high in fat. 2. A client recovering from Guillain-Barré syndrome is admitted to the rehabilitation unit for general rehabilitative care. Which method should the nurse anticipate to be used to provide for this client's nutritional needs?  Oral intake sufficient to maintain positive nitrogen balance 3. The nurse identifies which of the following clients may be at risk for protein deficiency?  A client who has been hospitalized for a gastrointestinal (GI) infection 4. Which nutritional intervention would be of most assistance to a client who has recently experienced a cerebrovascular accident (CVA)?  Use thickening agents to minimize the risk of aspiration and monitor the client closely during all feedings. 5. The nurse notes that a client with gastroesophageal reflux disease (GERD) is prescribed a bland diet. Which food should the nurse remove from the client's meal tray?  Coffee with cream R: A bland diet consists of foods that do not irritate the gastrointestinal tract and reduce gastric acid stimulation. These foods include caffeine-containing beverages such as coffee. The nurse should remove the coffee from the client's meal tray. An egg-white omelet is high in protein and will not increase symptoms of GERD. Dry toast will not aggravate symptoms of GERD. Skim milk is low in fat so it is helpful for a client with GERD. 6. The nurse has formulated a nursing diagnosis of ineffective family processes related to hospitalization of a child with a potentially fatal condition for the family of a child who sustained a brain injury during an automobile accident. Which nursing intervention would have the highest priority?  Encourage family to ask questions and express feelings [Show More]

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