A nurse is planning care for a school-age child who has autism spectrum disorder. Which of the following actions should the nurse include in the plan?

A. "Your child will need to follow a low-protein diet temporarily." Celiac disease requires a gluten-free diet, not a low-protein diet. Protein intake is not typically restricted in celiac disease unless there are specific renal issues.

B. "You should place your child on a high-fiber diet when she has an exacerbation." High-fiber diets are not specific to managing celiac disease exacerbations. The focus should be on a gluten-free diet to avoid triggering symptoms.

C. "You should replace white flour with wheat flour when preparing meals for your child." This advice is incorrect as both white flour and wheat flour contain gluten. The child should avoid all gluten-containing products, including wheat flour.

D. "Your child will be on a gluten-free diet for the rest of her life." Correct. Celiac disease is a lifelong condition that requires a strict gluten-free diet to prevent symptoms and long-term complications.

A. Obtain an x-ray of the child's neck: While an x-ray can help diagnose epiglottitis, it is not the first action. The priority is to prevent the spread of infection and ensure the safety of the healthcare team and other patients.

B. Place intubation equipment at the bedside: Intubation may be necessary if the child's airway becomes obstructed, but the first step is to take precautions to prevent the spread of the infection.

C. Administer intravenous antibiotics: Administering antibiotics is crucial for treating the infection, but it should follow the initiation of droplet precautions to ensure safety.

D. Initiate droplet precautions: Epiglottitis is often caused by bacterial infections that can spread through respiratory droplets. Initiating droplet precautions immediately helps prevent transmission and is the priority to protect healthcare workers and other patients.