A nurse is caring for a child with gastroesophageal reflux disease.
Which dietary change should the nurse recommend?

Choice A rationale

Avoiding fruit juice is a helpful recommendation because fruit juices are often high in simple sugars, which can draw water into the bowel and potentially worsen diarrhea. This statement indicates a good understanding of dietary management for diarrhea.

Choice B rationale

Offering small amounts of oral rehydration solution frequently is a crucial aspect of managing acute diarrhea in toddlers to prevent dehydration by replacing lost fluids and electrolytes. This demonstrates appropriate knowledge of fluid management.

Choice C rationale

Giving over-the-counter antidiarrheal medicine to stop the stools is generally not recommended for toddlers with acute diarrhea without specific guidance from a healthcare provider. These medications can sometimes mask underlying issues or have adverse effects in young children. This statement indicates a need for further explanation regarding safe medication use.

Choice D rationale

Continuing to offer the child their usual foods as tolerated is generally advised to maintain nutritional intake during diarrhea. Bland foods like toast, rice, bananas, and applesauce are often well-tolerated. This shows an understanding of appropriate dietary progression.

Choice A rationale

Isotretinoin absorption is enhanced with high-fat meals because it is a lipophilic drug. While this is important for maximizing the medication's effectiveness, it is not the priority nursing action related to the significant risks associated with the drug.

Choice B rationale

Isotretinoin can cause increased photosensitivity, making the skin more susceptible to sunburn. Monitoring for and educating the child and family about sun protection measures, such as sunscreen and protective clothing, is crucial to prevent skin damage.

Choice C rationale

Isotretinoin is a known teratogen, meaning it can cause severe birth defects if taken during pregnancy. Therefore, ensuring that female patients of childbearing potential are using two effective forms of contraception and have a negative pregnancy test before starting treatment is a paramount safety concern and a priority nursing action.

Choice D rationale

There is no specific contraindication or recommendation regarding increased dairy intake for children receiving isotretinoin. Dairy intake does not directly address the major risks associated with the medication.