what dietary modification is important for a child with celiac disease

HESI LPN

Nutrition Final Exam

1. What dietary modification is important for a child with celiac disease?

A. Increase dairy intake
B. Avoid gluten-containing foods
C. Decrease protein intake
D. Increase fiber intake

Correct answer: B

Rationale: The correct answer is B: Avoid gluten-containing foods. For a child with celiac disease, it is crucial to eliminate gluten from their diet to manage the condition effectively. Gluten triggers an immune response in individuals with celiac disease, leading to symptoms and damage to the small intestine. Choices A, C, and D are incorrect because increasing dairy intake, decreasing protein intake, or increasing fiber intake are not specific dietary modifications for managing celiac disease.

2. What is a key aspect of managing a child with cystic fibrosis?

A. Regular pulmonary function tests
B. Daily administration of antibiotics only
C. High-sugar diet
D. Limiting all physical activities

Correct answer: A

Rationale: Regular pulmonary function tests are a key aspect of managing a child with cystic fibrosis. These tests help monitor lung function and disease progression effectively, providing valuable information for healthcare providers to make timely interventions and adjustments to treatment plans. Daily administration of antibiotics alone (Choice B) is important but not the sole key aspect of managing cystic fibrosis. A high-sugar diet (Choice C) is not recommended for individuals with cystic fibrosis as it can exacerbate health issues. Limiting all physical activities (Choice D) is not beneficial as regular exercise is important for overall health and lung function in individuals with cystic fibrosis.

3. Which measure best describes the amounts of nutrients that should be consumed by the population?

A. The Dietary Reference Intakes, as they provide a set of nutrient intake values for healthy people in the United States and Canada
B. The Tolerable Upper Intake levels, as they indicate the maximum daily amount of a nutrient considered safe for most healthy people
C. The Estimated Average Requirements, as they reflect the average daily amount of a nutrient needed to maintain a specific function in half of the healthy individuals of a population
D. The Recommended Dietary Allowances, as they represent the average daily amount of a nutrient considered adequate to meet the known nutrient needs of practically all healthy individuals

Correct answer: D

Rationale: The Recommended Dietary Allowances (RDAs) are the best measure to describe the amounts of nutrients that should be consumed by the population. RDAs represent the average daily intake level that meets the nutrient requirements of nearly all (97-98%) healthy individuals in a particular life stage and gender group. Choice A, the Dietary Reference Intakes, provide a set of nutrient intake values but do not specifically address the average daily amount of a nutrient considered adequate for practically all individuals. Choice B, the Tolerable Upper Intake levels, focus on the maximum daily amount of a nutrient deemed safe for most healthy people, not the average daily amount needed. Choice C, the Estimated Average Requirements, reflect the average daily amount of a nutrient needed by half of the healthy individuals, which is not as comprehensive as the RDAs that cater to nearly all healthy people.

4. What is a common complication of untreated type 1 diabetes in children?

A. Diabetic ketoacidosis
B. High blood pressure
C. Asthma
D. Frequent infections

Correct answer: A

Rationale: Diabetic ketoacidosis is a serious complication of untreated type 1 diabetes in children. It is characterized by high blood sugar levels, ketones in the urine, and acidosis. Prompt medical attention is required to manage this condition. High blood pressure (Choice B) can be a complication of diabetes but is not as directly linked to untreated type 1 diabetes as diabetic ketoacidosis. Asthma (Choice C) and frequent infections (Choice D) are not typically associated with untreated type 1 diabetes in children.

5. How should hydration status in a child with fever and vomiting be assessed?

A. Monitor skin turgor and mucous membranes
B. Measure blood glucose levels
C. Check for signs of jaundice
D. Assess respiratory rate

Correct answer: A

Rationale: To assess hydration status in a child with fever and vomiting, monitoring skin turgor and mucous membranes is essential. Skin turgor refers to the skin's ability to change shape and return to normal; poor skin turgor can indicate dehydration. Mucous membranes, such as the mouth and eyes, can also provide valuable information about hydration levels. Measuring blood glucose levels (Choice B) is not directly related to assessing hydration status. Checking for signs of jaundice (Choice C) is important for liver-related issues, not hydration assessment. Assessing respiratory rate (Choice D) is crucial for evaluating respiratory function, not hydration status.