Author Question: A child has a total cholesterol level of 180 mg/dL. What dietary recommendations should the nurse ... (Read 52 times)

nautica902 · **on:** Jun 27, 2018

A child has a total cholesterol level of 180 mg/dL. What dietary recommendations should the nurse make to the child and the child's parents? Select all that apply.

a. Replace whole milk for 2 or 1 milk
b. Increase servings of red meat
c. Increase servings of fish
d. Avoid excessive intake of fruit juices
e. Limit servings of whole grain

Question 2

Which congenital heart disease causes cyanosis when not repaired? Select all that apply.

a. Patent ductus arteriosus (PDA)
b. Tetralogy of Fallot
c. Pulmonary atresia
d. Transposition of the great arteries

Bigfoot1984 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A, C, D
A low-fat diet includes using nonfat or low-fat dairy products, limiting red meat intake, and increasing intake of fish, vegetables, whole grains, and legumes. Children should avoid excessive intake of fruit juices and other sweetened drinks, sugars, and saturated fats.

Answer to Question 2

B, C, D
Tetralogy of Fallot is a cyanotic lesion with decreased pulmonary blood flow. The hypoxia results in baseline oxygen saturations as low as 75 to 85. Even with oxygen administration, saturations do not reach the normal range. Pulmonary atresia is a cyanotic lesion with decreased pulmonary blood flow. The hypoxia results in baseline oxygen saturations as low as 75 to 85. Even with oxygen administration, saturations do not reach the normal range. Transposition of the great arteries is a cyanotic lesion with increased pulmonary blood flow. PDA is failure of the fetal shunt between the aorta and the pulmonary artery to close. PDA is not classified as a cyanotic heart disease. Prostaglandin E1 is often given to maintain ductal patency in children with cyanotic heart diseases.