A school-age child with nasopharyngitis has had little appetite for 24 hours. What is the best nursing guidance to give the parent?

• A. Do not be concerned; it is common for appetite to decrease during a respiratory illness.
• B. Be sure your child is taking fluids; appetite should return soon.
• C. Try offering some favorite foods to encourage eating.
• D. Force your child to eat to maintain nutrition.

Answer: (B)

During an acute upper respiratory illness, a child often has a reduced appetite. The most important nursing guidance is to keep the child well hydrated, since fluids help prevent dehydration and support recovery even if solid food intake is limited. Encourage small, frequent sips of fluids such as water, oral rehydration solutions, clear broths, or diluted juice, and offer fluids even if the child isn’t feeling hungry. Appetite typically returns as the illness improves, but dehydration can quickly worsen if intake is too low. If fluid intake remains poor or dehydration signs appear (dry mouth, decreased urine, sunken eyes, lethargy), contact a clinician. Forcing the child to eat isn’t recommended, and while offering favorite foods can help, it doesn’t address the immediate need to maintain hydration.