While reviewing nursing documentation on dietary intake for a ...

[azncindy619]

While reviewing nursing documentation on dietary intake for a 7-year-old child of Asian descent, the nurse notes that he consistently refuses to eat the food on his tray. Which assumption is most likely accurate?
 
  a. He is a picky eater.
  b. He needs less food because he is on bed rest.
  c. He may have culturally related food prefe-rences.
  d. He is probably eating between meals and spoiling his appetite.

Question 2

Which medication would be best for the nurse to administer before a dressing change for the severely burned child?
 
  a. Codeine
  b. Benadryl
  c. Morphine
  d. Acetaminophen

[cat123]

Answer to Question 1

C
When cultural differences are noted, food preferences should always be obtained. A child will often not eat unfamiliar foods. Although the child may be a picky eater, the key point is that he is from a different culture. The foods he is being served may seem strange to him. Nutrition plays an important role in healing. Although the child expends less energy while on bed rest, he has increased needs for good nutrition. Although it should be determined whether the child is eating food the family has brought from home, it is more important to determine his food preferences.

Answer to Question 2

C
Morphine is the drug of choice for pain management in the severely burned child. It should be administered intravenously. Codeine may be used to diminish pain between dressing changes. Benadryl is administered to relieve discomfort from itching. Acetaminophen can be given for discomfort between painful procedures.