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A year ago
The nurse has given the family of a child with juvenile rheumatoid arthritis instructions on nutrition and diet.
 
  Which of the following reports given by the family a week later on what they have been serving will best indicate that they followed the nurse's instructions? a. Our child does not like much of anything except sweets, so we serve a lot of sweet foods.
  b. We have increased the amount of olive oil in our child's otherwise balanced diet.
  c. We serve less beef and pork and more eggs and fish such as salmon for protein.
  d. We provide 3 to 4 servings of protein each day as part of a balanced diet that is low in fat and low in sodium.
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A year ago
D

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A Incorrect. Serving mostly sweets will cause weight gain and lack of proper nutrients.
B Incorrect. Olive oil is a monounsaturated fat which is preferred to a saturated fat but is not an indication that the child is eating a well balanced diet.
C Incorrect. We serve less beef and pork and more eggs and fish such as salmon for protein does not indicate that they followed the nurse's instructions.
D Correct. When the family reports that they have been serving 3 to 4 servings of protein each day as part of a balanced diet that is low in fat and sodium, this indicates they have understood the nurse's instructions. It is important for the diet of a child with JRA to include well balanced meals, avoidance of weight gain, calcium intake of 3-4 servings daily, and low fat, low sodium intake if on corticosteroids.
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