The parents of a child diagnosed with celiac disease ask the nurse what types of food they can offer their child. What recommendation would the nurse include in the teaching plan?
A) Frozen yogurt
B) Rye bread
C) Creamed spinach
D) Fruit juice
Ans: D
For the child with celiac disease, foods containing gluten such as frozen yogurt, rye bread, and creamed vegetables should be avoided. Fruit juice would be an appropriate suggestion in a gluten-free diet.
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The father of an 11-year-old child with type 1 diabetes mellitus says that the child has frequent nightmares and wakes up in the middle of the night. What could be the cause of the nightmares?
1. The child is experiencing anxiety related to the diabetes. 2. The child might be experiencing Somogyi phenomenon, which often occurs at night. 3. The child might be experiencing dawn phenomenon with blood sugar elevations. 4. The child's nightmares have nothing to do with the diabetes.
The nurse is caring for several clients on the respiratory floor. Which client does the nurse assess most carefully for the development of acute respiratory distress syndrome (ARDS)?
a. Older adult with COPD b. Middle-aged client receiving a blood transfusion c. Older adult who has aspirated his tube feeding d. Young adult with a broken leg from a motorcycle accident
An elderly client is recovering from a severe burn to 50% of the body. Which of the following aging considerations are important to remember in caring for an elderly client with a burn injury?
a. Normal physiologic changes associated with aging delay recovery and put the older adult at greater risk for complications following a burn injury. b. The stress of a severe burn can leave the body unable to cope with demands for increased oxygen and increased cardiac output. c. The older adult has an increased glomerular filtration rate which protect the client from kidney failure. d. An older client's skin is more fragile due to the loss of subcutaneous tissue. e. Circulation, especially in the lower extremi-ties may already be compromised, so healing will be delayed. f. Skin grafting may not be successful because of impaired circulation and impaired nutrition.
The nurse assesses a patient using the Braden scale. A patient having a majority of which number indicates being at great risk for pressure sores?
a. 1 b. 2 c. 3 d. 4