The nurse is providing teaching to the parents of a school-aged child newly diagnosed with Crohn's disease about dietary measures to implement during an exacerbation. Which statement made by the parents indicates a need for further instruction?

"We will avoid giving our child any dairy products during an exacerbation."

"We will make sure our child eats plenty of fruits and vegetables during an exacerbation."

"We will increase our child's intake of high-fiber foods, such as whole grains and legumes."

"We will encourage our child to drink plenty of fluids, especially water."

Answer and Explanation

The Correct Answer is B

A. "We will avoid giving our child any dairy products during an exacerbation." Avoiding dairy products during a Crohn's disease exacerbation is often recommended because many individuals with Crohn's disease are lactose intolerant, and dairy can exacerbate symptoms such as diarrhea.

B. "We will make sure our child eats plenty of fruits and vegetables during an exacerbation." During an exacerbation of Crohn's disease, a high-fiber diet (including many fruits and vegetables) can be problematic, as it may irritate the intestines and worsen symptoms. This statement indicates a need for further teaching.

C. "We will increase our child's intake of high-fiber foods, such as whole grains and legumes." High-fiber foods should generally be avoided during a Crohn's disease flare-up because they can be difficult to digest and may worsen symptoms. However, this advice might be appropriate during periods of remission.

D. "We will encourage our child to drink plenty of fluids, especially water." Hydration is important, particularly during exacerbations, when the risk of dehydration increases due to diarrhea. This is a correct statement.

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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. Increased appetite B. Pallor C. Tachycardia D. Brittle spoon-shaped nails

Correct Answer is A

Explanation

A. Increased appetite is not an expected finding in a child with iron deficiency anemia. Children with iron deficiency anemia typically experience a reduced appetite or may develop pica (craving non-food substances) rather than an increased appetite.

B. Pallor is a common sign of iron deficiency anemia, as a lack of iron reduces the number of red blood cells and the amount of hemoglobin, leading to pale skin and mucous membranes.

C. Tachycardia is a compensatory response to anemia, as the heart works harder to deliver oxygen to tissues due to a reduced capacity of the blood to carry oxygen.

D. Brittle spoon-shaped nails (koilonychia) are a classic physical finding in iron deficiency anemia, caused by the reduced oxygen delivery to the nails and skin.

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The nurse is providing teaching to the parents of a school-aged child newly diagnosed with Crohn's disease about dietary measures to implement during an exacerbation. Which statement made by the parents indicates a need for further instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is A

Explanation

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