A nurse is providing education to a 12-year-old child who has been newly diagnosed with celiac disease. Which of the following statements by the client indicates a need for further teaching?

"Processed foods are acceptable, as long as they don't contain flour."

"I need to check food labels for hidden sources of gluten, like barley and rye."

"I need to avoid foods like bread, pasta, and cereal."

"My family should use separate serving utensils for gluten-free foods."

Answer and Explanation

The Correct Answer is A

A. This statement is incorrect because processed foods can contain gluten even if they don't have visible flour. Gluten can be found in many processed foods as an additive or stabilizer, such as in sauces, soups, and processed meats. It's important to always check food labels for gluten ingredients.

B. This is correct. Barley and rye are sources of gluten and must be avoided in a gluten-free diet for those with celiac disease.

C. This is correct. Foods like bread, pasta, and cereal commonly contain gluten and need to be avoided by individuals with celiac disease.

D. This is correct. Using separate serving utensils for gluten-free foods helps prevent cross-contamination, which is critical for managing celiac disease.

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Correct Answer is B

Explanation

A. Has your child had a fever? While fever can be associated with febrile seizures, it is not a question used to screen for epilepsy. Febrile seizures are typically isolated events in young children and are not considered part of chronic epilepsy.

B. Did your child have an aura prior to a seizure? This is an important question for assessing epilepsy, especially focal seizures, as many individuals with epilepsy experience an aura (a warning sign) before a seizure. The presence or absence of an aura helps in classifying the type of seizure and can be useful in diagnosis.

C. Has your child had two or more seizures, in the last 1 year? This is not a screening question for epilepsy, but it would be relevant if epilepsy has already been diagnosed. Two or more seizures within a year can indicate a seizure disorder, but asking if the child has had multiple seizures would be more appropriate once epilepsy is suspected.

D. How long did your child's seizure last? The duration of a seizure is important to note during an episode, but it is not a question used during initial screening. The nurse would focus more on whether seizures occur, how they manifest, and if there are any warning signs (like an aura) prior to the event.

A. The nurse monitors the child's vital signs every 2 to 4 hours B. The nurse carefully washes his/her hands before and after providing care C. The child has been placed in a semi-private room D. The nurse assesses the child for clinical signs of an infection

Correct Answer is C

Explanation

A. The nurse monitors the child's vital signs every 2 to 4 hours is appropriate. Regular monitoring of vital signs is important in children with neutropenia to detect early signs of infection or sepsis.

B. The nurse carefully washes his/her hands before and after providing care is appropriate. Hand hygiene is critical in preventing the transmission of infection, especially in neutropenic patients who are at high risk of infections.

C. The child has been placed in a semi-private room requires further education. A child with a neutrophil count of 225 is at significant risk of infection, and placing the child in a semi-private room increases the risk of exposure to pathogens. The child should be placed in a private room to minimize exposure to infectious agents.

D. The nurse assesses the child for clinical signs of an infection is appropriate. Vigilant monitoring for infection is essential in neutropenic patients, as they are more susceptible to infections.

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A nurse is providing education to a 12-year-old child who has been newly diagnosed with celiac disease. Which of the following statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is screening a child for epilepsy. Which of the following questions should the nurse ask the client's parent?

Correct Answer is B

Explanation

A child has been admitted to the pediatric unit. Her absolute neutrophil count is 225 and the child has been placed in neutropenic isolation. Which action by a nurse indicates that the nurse requires further education? (Select all that apply)

Correct Answer is C

Explanation

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