A nurse is caring for a 4-year-old pediatric client who has an inguinal hernia. Which of the following statements should the nurse make when the parents ask for clarification about the inguinal hernia?

A. This statement is incorrect because processed foods can contain gluten even if they don't have visible flour. Gluten can be found in many processed foods as an additive or stabilizer, such as in sauces, soups, and processed meats. It's important to always check food labels for gluten ingredients.

B. This is correct. Barley and rye are sources of gluten and must be avoided in a gluten-free diet for those with celiac disease.

C. This is correct. Foods like bread, pasta, and cereal commonly contain gluten and need to be avoided by individuals with celiac disease.

D. This is correct. Using separate serving utensils for gluten-free foods helps prevent cross-contamination, which is critical for managing celiac disease.

A. Have blood work done is not the initial priority for assessing cognitive status in a child with a suspected head injury. Blood work may be ordered later to assess for any contributing factors but is not the first step in cognitive assessment.

B. Monitor intracranial pressure is important but typically comes after an initial cognitive assessment. Elevated intracranial pressure may be suspected after assessing cognitive function and other neurological signs.

C. Recommend a CT scan might be ordered by a healthcare provider to assess for structural brain damage, but the initial assessment of cognitive status should be done first to evaluate the severity of the injury.

D. Use the Glasgow cognitive scale is the correct initial action. The Glasgow Coma Scale (GCS) is used to assess a child's level of consciousness and cognitive function following a head injury. It helps determine the severity of the injury and guides further intervention.