An important nursing consideration in the care of a child with celiac disease is to:
a. Refer to a nutritionist for detailed dietary instructions and education.
b. Help the child and family understand that diet restrictions are usually only temporary.
c. Teach proper hand washing and Standard Precautions to prevent disease transmission.
d. Suggest ways to cope more effectively with stress to minimize symptoms.
ANS: A
The main consideration is helping the child adhere to dietary management. Considerable time is spent in explaining to the child and parents the disease process, the specific role of gluten in aggravating the condition, and those foods that must be restricted. Referral to a nutritionist would help in this process. The most severe symptoms usually occur in early childhood and adult life. Dietary avoidance of gluten should be lifelong. Celiac disease is not transmissible or stress related.
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