A nurse is caring for a child who has suspected appendicitis. Which of the following provider prescriptions should the nurse clarify?

Rheumatic fever (RF) is a complication that can occur after an untreated or inadequately treated streptococcal throat infection (strep throat). It can affect the heart, joints, skin, and brain. One important aspect of managing RF is to prevent further episodes of strep throat, as it can trigger recurrent RF. Therefore, the child with a history of RF will require prophylactic antibiotics (usually penicillin or a related antibiotic) before certain invasive procedures, dental work, or surgeries to prevent strep throat and subsequent recurrence of RF.

Option A is not specific to rheumatic fever, and while electrolyte imbalances may be monitored and managed in certain cases of severe illness, it is not a core aspect of managing RF.
Option B is not accurate. While many children with RF do recover fully with appropriate treatment, they may be at risk of developing rheumatic heart disease, which can lead to long-term complications if not managed properly.
Option D is not a direct implication of RF. Rheumatic fever is not a genetically inherited condition, but a complication of strep throat caused by a bacterial infection. There is no evidence to suggest that having RF would directly affect the genetic implications for future offspring.

When providing teaching to a parent of a child with celiac disease, the nurse should recommend food choices that are gluten-free. Celiac disease is an autoimmune disorder triggered by the ingestion of gluten, which is a protein found in wheat, barley, rye, and their derivatives. Gluten damages the small intestine lining in individuals with celiac disease, leading to various gastrointestinal and nutritional issues.
The correct food choice for a child with celiac disease is B. Rice. Rice is naturally gluten-free and can be a safe and nutritious option for individuals with celiac disease. Other gluten-free options include corn, quinoa, oats (certified gluten-free oats), potatoes, and many fruits and vegetables.

A. Barley: Barley contains gluten, which is harmful to individuals with celiac disease. It should be avoided in the child's diet.
C. Rye: Rye also contains gluten and should be avoided in the child's diet. It can cause damage to the small intestine in individuals with celiac disease.
D. Wheat: Wheat is a primary source of gluten and is strictly off-limits for individuals with celiac disease. It is essential to avoid all wheat-containing products, including bread, pasta, and baked goods.