Author Question: A client reports that an adolescent family member has started a vegan diet. Which additions to meals ... (Read 22 times)

torybrooks · **on:** Jul 23, 2018

A client reports that an adolescent family member has started a vegan diet. Which additions to meals should the nurse recommend to help ensure that the adolescent does not become iron-deficient?

1. Tofu.
2. Soybeans.
3. Brewer's yeast.
4. Raisins.
5. Okra.
6. Apples.

Question 2

What nursing diagnosis is the most important for the nurse to include in the care plan of a client who has just been started on total parenteral nutrition (TPN) therapy?

1. Risk for Infection
2. Imbalanced Nutrition: Less than Body Requirements
3. Activity Intolerance
4. Fluid Volume Deficit

ApricotDream · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,4
Rationale 1: While all these options are good ones for someone on a vegan diet, the ones that would best prevent iron deficiency include tofu, with 1.9 mg of iron in a cup.
Rationale 2: While all these options are good ones for someone on a vegan diet, the ones that would best prevent iron deficiency include soybeans, with 2.8 mg of iron in 3 ounces.
Rationale 3: There is no information to determine the amount of iron in Brewer's yeast.
Rationale 4: While all these options are good ones for someone on a vegan diet, the ones that would best prevent iron deficiency include raisins, with 3.5 mg of iron in two thirds of a cup.
Rationale 5: Okra does not have an appreciable amount of iron.

Answer to Question 2

Correct Answer: 1
Rationale 1: TPN is delivered via a venous catheter and is very high in glucose. There is a very high risk for infection.
Rationale 2: The client already has imbalanced nutrition, so while that nursing diagnosis would be included, it is not as important as the risk for infection. The TPN therapy is already addressing the imbalanced nutrition.
Rationale 3: The client may have an activity intolerance, but the risk for infection takes priority as it can cause greater physical harm to the client.
Rationale 4: The client is now at more risk of fluid volume overload from the additional TPN fluid.