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 D

Explanation

A. "Nurses should ignore the guilt they feel when a child dies." This statement reflects an unhealthy response to grief. Nurses should acknowledge and process their feelings of guilt, rather than ignoring them, to maintain emotional well-being and provide appropriate care.

B. "The family members should be made aware that the nurse is experiencing anticipatory grief." While nurses may experience anticipatory grief, it is not appropriate to burden the family with the nurse’s own emotional experiences. Nurses should maintain professional boundaries and provide support for the family without disclosing personal grief.

C. "It is unexpected for you to be personally involved with the client and their family." This statement suggests emotional detachment, which can be counterproductive in palliative care. Nurses may form emotional connections, but they should manage their emotional responses appropriately. It’s important to balance emotional involvement with professional boundaries.

D. "Nurses should participate in grief and death education to resolve grief." This statement is correct. Nurses need education on grief and death to understand their emotional responses and help process them effectively. Education helps nurses to support their patients and families while managing their own emotions in a professional way.

A. An elevated red blood cell count B. A decreased white cell count C. An elevated white blood cell count D. A normal glucose

Correct Answer is C

Explanation

A. An elevated red blood cell count is not a typical finding in bacterial meningitis. An increase in red blood cells in cerebrospinal fluid (CSF) is more indicative of a traumatic lumbar puncture or hemorrhage.

B. A decreased white cell count would not be expected in bacterial meningitis. Bacterial infections typically lead to an increase in white blood cell count as part of the immune response to fight the infection.

C. An elevated white blood cell count is a hallmark of bacterial meningitis. This finding indicates an immune response in the CSF to the presence of bacteria. The cells are primarily neutrophils in bacterial infections.

D. A normal glucose level is not expected in bacterial meningitis. Glucose is typically decreased due to the consumption of glucose by bacteria and white blood cells in the CSF.

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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?

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A nurse is teaching a newly hired nurse about emotional responses when caring for a terminally ill child and their family. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

Correct Answer is D

Explanation

A lumbar puncture is done on an infant suspected to have meningitis. If the infant has bacterial meningitis, the nurse would expect the cerebral spinal fluid to show what result?

Correct Answer is C

Explanation

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