A four-year-old with intractable seizures has been on a ketogenic ...

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A four-year-old with intractable seizures has been on a ketogenic diet for the last six months, with a decrease in seizure activity. This child is now admitted to the pediatric unit with left-sided pain.
 
  The nurse knows that possible complications of the ketogenic diet include: 1. Appendicitis.
  2. Bowel obstruction.
  3. Urinary tract infection.
  4. Kidney stones.

Question 2

A child who has undergone a hematopoietic stem cell transplantation (HSCT) is ready for discharge. Which of the following concepts are important for the nurse to include in discharge education? Select all that apply.
 
  1. Keeping the child on a high-calcium diet
   2. Returning the child to school within six weeks
   3. Practicing good handwashing
   4. Avoiding influenza vaccinations
   5. Avoiding live plants and fresh vegetables

[Fayaz00962]

Answer to Question 1

4
Rationale 1: Appendicitis does not occur as a result of the ketogenic diet.
Rationale 2: The ketogenic diet does not cause a bowel obstruction.
Rationale 3: Urinary tract infections are not a result of a ketogenic diet.
Rationale 4: Kidney stones are seen in 5 of children on a ketogenic diet.
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Answer to Question 2

1, 3, 5
Rationale:
1. The child should be placed on calcium supplements to reduce the risk of osteopenia. Handwashing is essential to prevent the spread of infection. Live plants and fresh vegetables can carry bacteria; they should be avoided to decrease the risk of infection.
2. The child can't return to school for 612 months after an HSCT. In-hospital or in-home schooling is required. The child and the family should be encouraged to get a yearly influenza vaccination.
3. The child should be placed on calcium supplements to reduce the risk of osteopenia. Handwashing is essential to prevent the spread of infection. Live plants and fresh vegetables can carry bacteria; they should be avoided to decrease the risk of infection.
4. The child can't return to school for 612 months after an HSCT. In-hospital or in-home schooling is required. The child and the family should be encouraged to get a yearly influenza vaccination.
5. The child should be placed on calcium supplements to reduce the risk of osteopenia. Handwashing is essential to prevent the spread of infection. Live plants and fresh vegetables can carry bacteria; they should be avoided to decrease the risk of infection.