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 A

Explanation

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.

A. No venipuncture or blood pressure in left arm B. Do not palpate abdomen. C. Collect all urine. D. Contact precautions

Correct Answer is B

Explanation

A. No venipuncture or blood pressure in left arm is incorrect. This is not a standard warning for a child with Wilms' tumor. The concern for venipuncture or blood pressure typically involves conditions like a dialysis access or a limb at risk, but it is not specific to Wilms' tumor.

B. Do not palpate abdomen is correct. Wilms' tumor, a type of kidney cancer, can be palpated in the abdomen. However, palpating the tumor may increase the risk of spreading cancerous cells or causing trauma to the tumor site, so it is crucial to avoid palpation.

C. Collect all urine is incorrect. While urine collection may be necessary for diagnostic testing, it is not a specific warning related to Wilms' tumor. This would be standard for other renal conditions but not directly related to Wilms' tumor.

D. Contact precautions is incorrect. While contact precautions may be required for infections, Wilms' tumor itself does not require contact precautions unless there is an associated infection.

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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

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Correct Answer is A

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Correct Answer is B

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