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A nurse is providing teaching to the parents of a preschool-age child who has celiac disease. Which of the following instructions should the nurse Include?

A.

"Your child will need to follow a low-protein diet temporarily."

B.

"You should place your child on a high-fiber diet when she has an exacerbation."

C.

"You should replace white flour with wheat flour when preparing meals for your child."

D.

"Your child will be on a gluten-free diet for the rest of her life."

Answer and Explanation

The Correct Answer is D

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.


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Related Questions

Correct Answer is C

Explanation

A. Give the child small sips of water. Giving water can be helpful, but frequent throat clearing may indicate bleeding, which should be assessed first.

B. Administer an analgesic. Pain management is important, but the immediate concern should be to rule out postoperative bleeding.

C. Observe the child's throat with a flashlight. Frequent throat clearing can be a sign of bleeding. The nurse should inspect the throat first to check for signs of hemorrhage, which is a serious complication.

D. Offer the child an ice collar. An ice collar can help reduce swelling and pain but should be done after assessing for bleeding.

Correct Answer is ["0.6"]

Explanation

Convert weight from pounds to kilograms:

    • 55 lb / 2.2 lb/kg = 25 kg

Calculate the total milligrams of diphenhydramine needed:

    • Dose (mg/kg) x Weight (kg) = Total milligrams
    • 1.25 mg/kg x 25 kg = 31.25 mg (round to 31.3 mg)

Determine the volume of diphenhydramine solution needed:

    • Total milligrams / Concentration (mg/mL) = Volume (mL)
    • 31.3 mg / 50 mg/mL = 0.63 mL (round to nearest tenth)

Therefore, the nurse should administer 0.6 mL of diphenhydramine 50 mg/mL

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