The nurse is providing instructions to the mother of a child with herpetic gingivostomatitis. Which of the following responses, if stated by the mother after teaching, would indicate that fur-ther instruction is required?

1. "I will offer my child soft, bland foods."
2. "I will encourage my child to drink fluids."
3. "I will give my child frozen ice pops to assist with fluid intake."
4. "I will not give my child anything to eat for 2 days to allow the lesions to heal and crust over."


4

Rationale: Fluid intake is very important, and the child must be encouraged to drink. Frozen ice pops, noncitrus juices, and flat soft drinks are best. Small feedings of bland soft foods should be offered to the child. Parents need to be reassured that a few days without solid food will not harm the child as long as fluid intake is adequate, but an NPO status is not appropriate. Parents should also be taught to contact the physician if the child develops signs of dehydration. The child would not be kept NPO; in fact, dehydration is a concern with these children.

Nursing

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