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?
"Your child will need to follow a low-protein diet temporarily."
"You should place your child on a high-fiber diet when she has an exacerbation."
"You should replace white flour with wheat flour when preparing meals for your child."
"Your child will be on a gluten-free diet for the rest of her life."
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 D
Explanation
A. Stay with the child for long periods of time. Children with autism spectrum disorder (ASD) often have difficulties with social interactions and can become overstimulated easily. Staying with the child for long periods may increase anxiety and overstimulation.
B. Give the child three options when making choices. Children with ASD may have difficulty processing multiple choices and can become overwhelmed. Providing too many options can lead to confusion and frustration. A more effective strategy is to offer limited choices, ideally two, to simplify decision-making.
C. Explain procedures in detail to the child. While it's important to explain procedures to all children, those with ASD may find detailed explanations overwhelming. They often benefit from simple, clear, and concise instructions paired with visual supports.
D. Introduce the child to new situations slowly. Correct. Children with ASD often struggle with changes in routine and new situations. Introducing changes slowly helps them adjust gradually and reduces anxiety and behavioural issues.
Correct Answer is D
Explanation
A. Double vision: Double vision is not a common complication of a lumbar puncture. Complications typically involve symptoms related to cerebrospinal fluid (CSF) leakage or infection.
B. Nuchal rigidity when standing: Nuchal rigidity (stiff neck) can indicate meningitis, but it is not specifically a complication of a lumbar puncture. Nuchal rigidity is more likely to be associated with an underlying condition that prompted the lumbar puncture rather than the procedure itself.
C. Pain in the posterior iliac crest: Pain at the posterior iliac crest is not typical after a lumbar puncture, as the procedure is performed in the lower back at the lumbar spine region.
D. Headache: Headache is a common complication following a lumbar puncture, often due to a CSF leak. The headache typically worsens when the patient is in an upright position and improves when lying down.
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