A nurse is caring for a school-age child who has celiac disease. Which of the following food choices should the nurse incorporate into the child's diet?
Rye bread
Whole wheat pretzels
Graham crackers
Wild rice
The Correct Answer is D
A. Rye bread: Rye contains gluten, which triggers an autoimmune intestinal response in children with celiac disease. Even small amounts of gluten can damage the small-bowel villi and lead to malabsorption, abdominal discomfort, and long-term nutritional deficits. For this reason, rye products must be completely avoided in a gluten-free diet.
B. Whole wheat pretzels: Wheat is one of the primary sources of gluten, and whole wheat products contain high concentrations of it. Consuming these pretzels would provoke inflammation in the intestinal mucosa and worsen symptoms such as bloating, diarrhea, and poor nutrient absorption. These foods are unsafe for any child diagnosed with celiac disease.
C. Graham crackers: Graham flour is derived from wheat, making graham crackers a gluten-containing food. Despite their common use as snacks, they can contribute to ongoing intestinal injury in children with celiac disease when consumed regularly. They should be eliminated from the child’s meal plan to promote intestinal healing.
D. Wild rice: Wild rice is a naturally gluten-free grain alternative that does not trigger the immune response seen in celiac disease. It provides a safe source of carbohydrates and nutrients without risking intestinal inflammation. Incorporating wild rice supports dietary variety while maintaining strict gluten avoidance essential for long-term management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hospice care improves quality of life through palliative care: Hospice focuses on providing comfort, symptom management, and emotional support for clients with terminal illnesses. The primary goal is enhancing quality of life rather than curing the underlying disease.
B. Hospice care provides 24-hr, in-home care: While hospice offers support and on-call services, it does not guarantee continuous 24-hour in-home care. Family caregivers remain the primary providers of daily care, with hospice staff available for assistance as needed.
C. Hospice care is intended to postpone death: Hospice care is not designed to prolong life but to ensure comfort and dignity at the end of life. Interventions are focused on symptom relief rather than curative treatments.
D. Hospice care encourages the family to coordinate health care services: Hospice staff coordinate care, relieving the family of managing complex medical needs. Families are supported rather than being responsible for coordinating all services themselves.
Correct Answer is B
Explanation
A. "I will be able to stop taking this medication when I feel better.": Abruptly stopping sertraline can lead to withdrawal symptoms and potential relapse of depression. Clients need to continue the medication as prescribed and taper under guidance if discontinuation is necessary.
B. "I understand I might experience difficulty concentrating while on this medication.": Difficulty concentrating is a common early side effect of sertraline, an SSRI. Understanding and anticipating this transient effect indicates the client has received appropriate education about expected medication responses.
C. "I should decrease my sodium intake while on this medication.": There is no specific restriction on sodium intake when taking sertraline. This statement reflects a misunderstanding of dietary precautions related to the medication.
D. "I am at an increased risk for developing chronic respiratory problems.": Sertraline does not increase the risk of chronic respiratory issues. This statement shows a misconception about the potential side effects of the medication.
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