Author Question: During a 4-month-old's well-child check, the nurse discusses introduction of solid foods into the ... (Read 108 times)

craiczarry · **on:** Jun 28, 2018

During a 4-month-old's well-child check, the nurse discusses introduction of solid foods into the infant's diet and concerns for foods commonly associated with food allergies.

Due to allergies, which foods will the nurse instruction the parents to avoid until after 1 year of age?
1. Strawberries, eggs, and wheat
2. Peas, tomatoes, and spinach
3. Carrots, beets, and spinach
4. Squash, pork, and tomatoes

Question 2

A school-age client, recently diagnosed with asthma, also has a peanut allergy.

The nurse instructs the family to not only avoid peanuts but also to carefully check food label ingredients for peanut products and to make sure dishes and utensils are adequately washed prior to food preparation. The mother asks why this is specific for her child. Based on the client's history, the nurse knows that this client is at an increased risk for which complication?
1. Urticaria
2. Diarrhea
3. Anaphylaxis
4. Headache

jjorrostieta · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1
Rationale: Strawberries, eggs, and wheat, along with corn, fish, and nut products, are all foods that have commonly been associated with food allergies. Carrots, beets, and spinach contain nitrates and should not be given before the age of 4 months. Squash, peas, and tomatoes are acceptable to try after an infant is 4 to 6 months old but should be given one at a time and three to five days after starting a new food. Pork can be tried after the infant is 8 to 10 months old, as meats are harder to digest and have a high protein load.

Answer to Question 2

Correct Answer: 3
Rationale: Children with food allergies may experience all of the above reactions to a particular food, but the child who also has asthma is most at risk for death secondary to anaphylaxis caused by a food allergy.