Step 1: Understanding the Question:
The question asks about the essential dietary components needed for a child suffering from Protein-Energy Malnutrition (PEM).
Step 3: Detailed Explanation:
* Protein-Energy Malnutrition (PEM): This is a severe form of malnutrition characterized by a deficiency of both protein and energy (calories). It encompasses conditions like marasmus (severe wasting due to chronic energy deficiency) and kwashiorkor (severe protein deficiency with adequate calories).
* Dietary Needs for PEM: Children with PEM require a diet that is rich in all macronutrients (protein for tissue repair and growth, carbohydrates for energy) and micronutrients (vitamins and minerals) to restore their nutritional status and promote recovery.
* Option Analysis:
- (A) Fats and vitamins: While important, fats alone are insufficient, and carbohydrates are also vital for energy.
- (B) Water soluble vitamins: These are micronutrients, essential but not the primary deficiency in PEM.
- (C) Micro nutrient: Too general; PEM is about macronutrient deficiency primarily.
- (D) Protein, carbohydrates and vitamins: This option correctly identifies the key macronutrients (protein and carbohydrates) and micronutrients (vitamins) needed to address the broad deficiencies in PEM.
Therefore, a diet rich in protein, carbohydrates, and vitamins is crucial for a child with PEM.
Step 4: Final Answer:
The nurse makes sure that the diet consumed by PEM child is rich in Protein, carbohydrates and vitamins.