The healthcare provider is providing dietary teaching to the parent of a school-age child who has celiac disease. The healthcare provider should recommend that the parent offer which of the following foods to the child?

Correct Answer: D

Rationale: In the context of pediatrics nursing, it is crucial to provide accurate dietary education to parents of children with conditions like celiac disease. The correct answer, option D - Rice pudding, is the most suitable choice for a school-age child with celiac disease because rice is a gluten-free grain safe for consumption by individuals with celiac disease. Rice pudding is a tasty and safe option that aligns with the dietary restrictions necessary for managing celiac disease. On the other hand, options A, B, and C are incorrect choices for a child with celiac disease. Option A - Wheat bread contains gluten, which is harmful to individuals with celiac disease as it can trigger autoimmune responses damaging the intestines. Option B - Vanilla malt often contains barley malt, which is also a gluten-containing ingredient not suitable for individuals with celiac disease. Option C - Barley soup contains barley, another gluten-containing grain that should be avoided in the diet of someone with celiac disease. By understanding the importance of gluten-free diet in managing celiac disease, parents can make informed choices to promote their child's health and well-being. Education on appropriate food choices is essential in preventing complications and ensuring optimal growth and development in children with celiac disease.

Correct Answer: B

Rationale: In a child with a head injury, the development of diabetes insipidus can occur due to pituitary hypofunction, leading to a deficiency of antidiuretic hormone. An elevated sodium level (hypernatremia) is a key finding in diabetes insipidus due to the excessive loss of free water in the urine, resulting in increased sodium concentration in the blood.

Correct Answer: D

Rationale: The correct answer is D. Congenital hypothyroidism requires lifelong medication to manage the condition effectively. The nurse should emphasize to the parent that their child will need to take the medication for life to ensure proper thyroid hormone levels and prevent complications associated with hypothyroidism.

Correct Answer: D

Rationale: In this scenario, option D, which is keeping the infant's elbow restrained, is the correct action for the nurse to take. The rationale behind this is that following surgical repair of a cleft lip, it is crucial to prevent the infant from touching or rubbing the surgical site to avoid disruption of the sutures and potential wound complications. Restraining the infant's elbow helps in limiting the infant's movement and reduces the risk of inadvertent injury to the surgical area. Options A, B, and C are incorrect actions for the nurse to take in this situation. Positioning the infant on his abdomen (option A) is not recommended post cleft lip surgery as it can put pressure on the surgical site and may lead to discomfort or disruption of the wound. Cleansing the incision site with hydrogen peroxide (option B) is not advised as it can be harsh on the delicate skin of the infant and may impede the healing process. Offering the infant a pacifier (option C) is also not recommended immediately post cleft lip surgery as sucking on a pacifier may put pressure on the surgical site and interfere with the healing process. In a pediatric nursing context, it is vital for nurses to have a comprehensive understanding of postoperative care following surgical procedures in infants. This includes knowledge of appropriate wound care, positioning, and strategies to prevent complications. By selecting the correct action of keeping the infant's elbow restrained, the nurse demonstrates sound clinical judgment and promotes optimal healing and recovery for the infant post cleft lip surgery.

Correct Answer: C

Rationale: It is essential to give insulin at room temperature to prevent discomfort during administration. Cold insulin can cause stinging and pain, which can be avoided by allowing the insulin to reach room temperature before administration. Storing insulin in the refrigerator is correct for long-term storage, but it should be brought to room temperature before use. Rotating injection sites is important to prevent lipohypertrophy, a condition characterized by fatty lumps that can develop if injections are consistently given in the same area. Administering insulin within 30 minutes of a meal is generally recommended to match the insulin peak action with the peak glucose levels after eating, but giving insulin at room temperature is more crucial to ensure comfort and proper absorption.