Author Question: A school-age child, recently diagnosed with celiac disease, is underweight, vitamin-deficient, ... (Read 106 times)

lbcchick

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A school-age child, recently diagnosed with celiac disease, is underweight, vitamin-deficient, anemic, and experiences frequent diarrhea. In addition to removing gluten from his diet, what other recommendations will the nurse provide for this child and fa
 
  Select all that apply.
  A) Fat restriction
  B) A high-carbohydrate diet
  C) Vitamin supplements
  D) High-calorie diet
  E) High protein diet

Question 2

Parents of a child diagnosed with celiac disease have requested guidance on how to implement an appropriate diet. In addition to a list of foods to include and exclude, which interventions by the nurse are appropriate?
 
  Select all that apply.
  A) Obtaining a dietary prescription
  B) Implementing a recommended exercise program
  C) Training on how to read food labels
  D) Providing a referral to support groups
  E) Encouraging the use of a gluten-free cookbook



cswans24

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Answer to Question 1

Answer: A, C, D, E

A child with celiac disease who is underweight, vitamin-deficient, anemic and experiencing diarrhea will require a low-fat, high-calorie, high-protein diet. Vitamin supplements may also be required. In celiac disease, gastrointestinal dysfunction may cause carbohydrates to be incompletely digested, leading to malabsorption and intolerance.

Answer to Question 2

Answer: A, C, D, E

Education that should be provided to the child and their family include obtaining a dietary prescription will enable them to deduct the cost of special ingredients and commercially prepared products as a medical expense; education on how to read a food label; providing referrals to a support group; and encouraging the use of a gluten-free cookbook. Exercise is not considered an intervention that is specifically aimed at treating celiac disease.



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