The nurse is caring for a preschool-age child who has been seen ...

[SAVANNAHHOOPER23]

The nurse is caring for a preschool-age child who has been seen in the emergency department for an allergic reaction to stinging insects twice in the last month.
 
  What should the nurse instruct the parents to help reduce the child's exposure to insects? A) Keep the child's hair short.
  B) Keep the child away from the trash.
  C) Use lightly scented powders and lotions.
  D) Avoid going outdoors during the heat of the day.

Question 2

The nurse is helping the parents of a toddler identify foods that are causing allergic symptoms in the child. Which strategy should the nurse encourage the parents to use?
 
  A) Elimination diet
  B) Hyposensitivity testing
  C) Corticosteroid challenge testing
  D) Complete dietary protein restriction

[bassamabas]

Answer to Question 1

B
Feedback:
Children who are allergic to stinging insects should stay away from garbage containers because insects tend to cluster around trash. The length of hair does not impact the frequency of insect stings. The parents should avoid scented preparations such as lotions or powders because these attract insects. The child can go out of doors during the heat of the day but should not go barefoot and should have a fast-acting insecticide handy to use on flying insects.

Answer to Question 2

A
Feedback:
An elimination diet is a traditional method to detect food allergens. Parents feed the child only foods that rarely cause allergy, such as rice, lamb, carrots, peas, and sweet potatoes, for about 7 days. Then they add, one by one, at 2- to 3-day intervals, foods that are suspected of causing allergy. When a food is introduced this way, the child must be encouraged to eat a lot of it that day. If symptoms occur, the food is then eliminated from the child's meals on a permanent basis. If no symptoms occur, the child can continue to eat the food. Hyposensitivity testing is unreliable with food allergies. Corticosteroids delay hypersensitivity reactions. It is difficulty to totally eliminate protein from the diet, and this is not a method to determine the cause of food allergies in the toddler.