A nurse is caring for a client at a provider's office.

Exhibits

Select 4 statements the nurse should plan to include when providing teaching to the client.

A. Encourage the client to eat even if nauseated: Encouraging a client to eat despite nausea can worsen the sensation and potentially lead to vomiting. Nausea due to equilibrium imbalance, is more effectively managed by addressing the underlying cause and tailor meals to reduce nausea triggers. Forcing food intake may increase discomfort and reduce overall nutritional compliance.
B. Provide low-fat carbohydrates with meals: Low-fat carbohydrates, such as crackers, toast, or rice, are easier to digest and less likely to trigger nausea compared to high-fat or heavy meals. These types of foods can help settle the stomach and maintain energy levels without worsening nausea.
C. Limit fluid intake between meals: Limiting fluid intake between meals is not typically recommended for nausea caused by equilibrium imbalance. Adequate hydration is essential, and fluids can sometimes help reduce nausea if consumed in small, frequent sips. Restricting fluids without clinical indication could contribute to dehydration and worsen symptoms.
D. Serve hot foods at mealtime: Hot foods tend to have stronger smells, which can trigger or worsen nausea in sensitive individuals. Cool or room-temperature foods are better tolerated by clients experiencing nausea, especially when the nausea is related to vestibular issues. Reducing olfactory stimulation helps in managing nausea more effectively.

• Preschooler unable to bear weight on legs when walking: This is a concerning physical limitation in a child of this age and suggests a possible musculoskeletal or nutritional disorder. In vitamin D deficiency, it may indicate bone pain or weakness due to poor mineralization, requiring prompt evaluation and intervention.
• Preschooler refuses all dairy products: Dairy products are a primary source of dietary calcium and often fortified with vitamin D, both essential for healthy bone development. A prolonged lack of dairy in a young child's diet can lead to nutritional deficiencies, particularly if the overall diet is limited or unbalanced.
• Legs are bowed bilaterally: Bowed legs in a preschool-aged child are a classic sign of rickets, a condition resulting from vitamin D deficiency. This skeletal deformity reflects impaired bone development and mineralization and warrants immediate medical follow-up to prevent further complications.
• Vitamin D 5 ng/mL (25 to 80 ng/mL): This level is critically low and indicates a severe vitamin D deficiency. Such a deficiency impairs calcium absorption, leading to weakened bones and increasing the risk for rickets, fractures, and long-term skeletal issues if not corrected.