A 4-year-old client with intractable seizures has been on a ketogenic diet for the last 6 months, with a decrease in seizure activity. This child is now admitted to the pediatric unit with left-sided pain. Which possible complication to this diet does the nurse suspect?
1. Appendicitis
2. Bowel obstruction
3. Urinary tract infection
4. Kidney stones
Question 2
A postpartum multipara is breastfeeding her new baby. The client states that she developed mastitis with her first child, and asks if there is something she can do to prevent mastitis this time. Which response by the nurse is most appropriate?
1. Massage your breasts on a daily basis, and if you find a hardened area, massage it toward the nipple to unblock that duct.
2. Most first-time moms experience mastitis. It is really quite unusual for a woman having her second baby to get it again.
3. Apply cold packs to any areas that feel thickened or firm in order to relieve the swelling and stasis of the milk in that area.
4. Take your temperature once a day. This will help you to pick up the infection early, before it becomes severe.
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