what intervention is recommended for a child with severe dehydration
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HESI LPN

Nutrition Final Exam

1. What intervention is recommended for a child with severe dehydration?

Correct answer: B

Rationale: Intravenous fluid replacement is the recommended intervention for a child with severe dehydration because it allows for rapid restoration of fluid and electrolyte balance. In severe cases, oral rehydration therapy (Choice A) may not be tolerated due to the child's condition. A high-protein diet (Choice C) is not the primary intervention and does not address the immediate fluid and electrolyte imbalance. Increased physical activity (Choice D) is contraindicated in severe dehydration as it can exacerbate fluid loss, making intravenous fluid replacement the most suitable choice for prompt correction of the severe dehydration.

2. What is a primary goal of managing diabetes mellitus in children?

Correct answer: C

Rationale: The primary goal of managing diabetes mellitus in children is to ensure normal growth and development. This involves maintaining stable blood glucose levels to prevent complications. Option A is incorrect because promoting weight gain is not a primary goal in managing diabetes; rather, the aim is to maintain a healthy weight. Option B is not the primary goal; although it is important to prevent episodes of hypoglycemia, the main focus is on overall management. Option D is incorrect as optimizing blood sugar control is a means to achieve the primary goal, which is ensuring normal growth and development.

3. What role do fats play in the human body?

Correct answer: D

Rationale: Fats play various essential roles in the human body, one of which is aiding in the digestion of food. While fats do provide a concentrated source of energy, the primary source is carbohydrates. Proteins are the building blocks of enzymes and hormones, not fats. Essential fatty acids found in fats are vital for brain function and development, but this is not the primary role of fats in the body.

4. Which statement is true of minerals in their role as nutrients?

Correct answer: C

Rationale: The correct statement is that some minerals become dissolved in body fluids, making them available for absorption and utilization by the body. Minerals are not organic compounds, so choice A is incorrect. Choice B is incorrect because minerals do not provide energy like macronutrients such as carbohydrates and fats. Choice D is incorrect because minerals are elements and cannot be destroyed by cooking; however, their availability and absorption may be affected by cooking methods.

5. How should the healthcare provider assist parents of a SIDS infant in coping?

Correct answer: C

Rationale: Assisting parents of a SIDS infant in coping involves alleviating feelings of guilt and blame, providing emotional support, and offering appropriate counseling. It is crucial to address the parents' emotional well-being and help them cope with the loss. Choice A is not the best answer as it focuses solely on grief counseling, while the primary concern is addressing feelings of guilt and blame. Choice B is inappropriate as remaining detached does not provide the necessary emotional support these parents need. Choice D is incorrect as discussing the parents' mistakes can intensify their feelings of guilt and blame, rather than helping them cope effectively.

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