The nurse encourages a client with an immunologic disorder to eat a nutritionally balanced diet to promote optimal immunologic function. Autoimmunity has been linked to excessive ingestion of:

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Fluid Maintenance Pediatrics Practice Questions Questions

Question 1 of 5

The nurse encourages a client with an immunologic disorder to eat a nutritionally balanced diet to promote optimal immunologic function. Autoimmunity has been linked to excessive ingestion of:

Correct Answer: C

Rationale: Excessive ingestion of fat has been linked to autoimmunity. A diet high in saturated and trans fats can lead to chronic inflammation and disrupt the balance of immune cells, potentially triggering autoimmune responses in the body. Conversely, a nutritionally balanced diet that includes healthy fats like omega-3 fatty acids from sources such as fish, nuts, and seeds can help support optimal immunologic function and reduce the risk of autoimmune disorders.

Question 2 of 5

The MOST likely cause of a 4-year-old boy refusing to go to bed and remaining active is

Correct Answer: C

Rationale: Behavioral insomnia involves resistance to bedtime routines.

Question 3 of 5

Which of the following malignancies is least likely to occur in a 10-month-old infant?

Correct Answer: D

Rationale: Hepatoblastoma is rare in infants under 1 year old, being more common in toddlers.

Question 4 of 5

You are discussing the risk of radiotherapy with the parents of a child with medulloblastoma; the mother has a concern about the late neurological complications post radiotherapy. The statement that should be included in the discussion that late neurological sequelae post radiotherapy is more severe with

Correct Answer: B

Rationale: Younger children (<3 years) are more susceptible to long-term neurotoxic effects of radiotherapy.

Question 5 of 5

A client hyperparathyroidism declines surgery and is to receive hormone replacement therapy with estrogen and progesterone. Which of the following instructions would be most important to include in the client's teaching plan?

Correct Answer: A

Rationale: The most important instruction to include in the client's teaching plan would be to maintain a moderate exercise routine (Option A). Regular physical activity is important for overall health, including helping to maintain bone health and strength. This is particularly crucial for individuals with hyperparathyroidism who are declining surgery and opting for hormone replacement therapy, as exercise can help to support bone density and reduce the risk of fractures. However, it is essential to emphasize that the exercise should be moderate and appropriate for the individual's current fitness level, as excessive exercise can have negative effects on bone health in this population.

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