The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac disease.

Which foods should the nurse include in the list of allowed foods for this child?

Rye.

Rice.

Oats.

Barley.

Answer and Explanation

The Correct Answer is B

The nurse should include rice in the list of allowed foods for a child who is newly diagnosed with celiac disease. Rice is a gluten-free grain and is safe for individuals with celiac disease to consume. Rye, oats, and barley all contain gluten and should be avoided by individuals with celiac disease. However, some individuals with celiac disease may be able to tolerate oats that are certified gluten-free and not contaminated with other gluten-containing grains.

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Correct Answer is B

Explanation

Answer: (B) Counsel the client about the risks and benefits of using oral contraceptives.

Rationale:

(A) Encourage the client to discuss her need for contraceptives with her parents: Encouraging open communication with parents is important, but this action might not be the most appropriate in this context. The client has expressed a desire for confidentiality, and respecting her autonomy is essential, particularly when it comes to sensitive topics like sexual health.

(B) Counsel the client about the risks and benefits of using oral contraceptives: Providing counseling about the risks and benefits of oral contraceptives is the most appropriate action. It ensures the client is informed and able to make a decision that is right for her health and circumstances. The nurse can also discuss other contraceptive options and provide education on safe sex practices. This approach respects the client's autonomy and privacy while ensuring she receives the necessary information to make an informed choice.

(C) Explain that she needs parental approval to receive contraceptives: In many areas, adolescents have the right to obtain contraceptives without parental consent. Requiring parental approval might not only be legally incorrect but could also discourage the client from seeking necessary healthcare, potentially putting her at risk.

(D) Tell the client how to receive a variety of free oral contraceptives from the clinic: While providing information about accessing contraceptives is helpful, this option alone does not address the need for thorough counseling about the risks and benefits. It's important to ensure that the client understands the implications of using oral contraceptives and has the opportunity to ask questions and receive guidance tailored to her individual needs.

A. Obtain the essential information as quickly as possible. B. Document interactions between the parent and the child. C. Ignore the child's behavior, directing questions to a parent. D. Include the child's toy in the collection of information.

Correct Answer is D

Explanation

The nurse should implement the intervention of including the child's toy in the collection of information when the child screams and tries to hide behind the parent, dropping a stuﬀed toy. This can help engage the child and make them feel more comfortable during the medical history collection process. The other options (A, B, and C) are not appropriate interventions in this situation.

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The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac disease. Which foods should the nurse include in the list of allowed foods for this child?

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The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac disease.

Which foods should the nurse include in the list of allowed foods for this child?