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."
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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Related Questions
Correct Answer is C
Explanation
A. Consuming a diet high in iron-rich foods, such as lean meats, beans, and leafy vegetables, can help prevent iron deficiency anemia.
B. Regular consumption of fortified cereals provides essential nutrients, including iron, which can help prevent anemia.
C. This is the correct answer. Excessive intake of cow's milk can be a risk factor for iron deficiency anemia in toddlers because cow's milk is low in iron and can interfere with iron absorption. Additionally, consuming large amounts of cow's milk can cause gastrointestinal blood loss, further contributing to iron deficiency.
D. While participating in physical activities is important for a toddler's growth and development, it does not directly relate to an increased risk for iron deficiency anemia.
Correct Answer is A
Explanation
A. Administer an antiemetic before chemotherapy begins is the most appropriate action. Chemotherapy-induced nausea and vomiting can be anticipated, so administering an antiemetic before treatment helps to prevent these symptoms from occurring. This proactive approach is standard practice to manage chemotherapy side effects.
B. Encourage drinking large amounts of favorite fluids may help with hydration, but it doesn't specifically target nausea or vomiting. It’s better to focus on a strategy to directly prevent these symptoms, such as using antiemetics.
C. Offer frequent small meals before and after chemotherapy may help with general appetite and nutrition, but it doesn't directly address nausea and vomiting from chemotherapy.
D. Provide the child's favorite music as a distraction can be helpful for comfort but does not address the underlying issue of chemotherapy-induced nausea and vomiting.
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