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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Dry raised facial rash: A classic manifestation of systemic lupus erythematosus is the malar or “butterfly” rash, which appears across the cheeks and bridge of the nose. It is typically dry, raised, and erythematous, often triggered or worsened by sunlight.

B. Subcutaneous nodules: Subcutaneous nodules are more commonly associated with rheumatoid arthritis rather than SLE. They are firm, non-tender lumps over bony prominences or extensor surfaces.

C. Hyperuricemia: Elevated uric acid levels are characteristic of gout, not SLE. Clients with SLE may experience kidney involvement, but hyperuricemia is not a defining feature.

D. Polycythemia: SLE is more commonly associated with anemia (especially hemolytic or anemia of chronic disease) rather than polycythemia. Increased red blood cell counts are not expected in this autoimmune condition.

A. The preschooler wears a medical identification bracelet B. The preschooler takes tub baths independently C. The preschooler sleeps in a bed with side rails. D. The preschooler's mattress is waterproof

Correct Answer is B

Explanation

A. The preschooler wears a medical identification bracelet: Wearing a medical ID bracelet is a safety measure that allows caregivers and healthcare professionals to respond appropriately during a seizure. No modification is needed for this practice.

B. The preschooler takes tub baths independently: Independent tub bathing poses a significant risk of injury or drowning if a seizure occurs during bathing. The nurse should recommend modifications, such as supervised showers or sponge baths, to ensure the child’s safety.

C. The preschooler sleeps in a bed with side rails: Using side rails can prevent falls from bed during a seizure. This is an appropriate safety measure and does not require modification.

D. The preschooler's mattress is waterproof: A waterproof mattress protects against injury from incontinence or vomiting during a seizure and is a suitable precaution that does not require modification

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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?

Nursing Test Bank

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