Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
48. An adolescent with hemophilia sustains a bilateral lower extremity injury and is hospitalized. Which selection on the adolescent's lunch menu indicates the need for further dietary counseling by the nurse?
. A yogurt and fruit plate.
. A cheeseburger and coleslaw.
. A slice of cheese pizza and a tossed green salad.
. A scoop of pasta salad and a cup of vegetable soup.
Test-Taking Tip
The correct answer is the "wrong" food choice (i.e., what is not a good choice to eat). Relate calories consumed to potential for additional injury.
Content Area: Child Health, Hematological; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Basic Care and Comfort/Nutrition and Oral Hydration
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because a yogurt and fruit plate would not be a high-calorie lunch, which could contribute to weight gain while recuperation from the injury takes place. Answer 2 is correct because diet is an important consideration in the treatment of hemophilia. Excessive body weight can increase the strain on affected joints, especially the knees, and predispose the adolescent to hemarthrosis. Consequently calories need to be supplied in accordance with energy requirements. Answer 3 is incorrect because a slice of cheese pizza and a tossed green salad would not be a high-calorie lunch, which could contribute to weight gain while recuperation from the injury takes place. Answer 4 is incorrect because a scoop of pasta salad and a cup of vegetable soup would not be a high-calorie lunch, which could contribute to weight gain while recuperation from the injury takes place.