A nurse is educating parents about essential dietary modifications for their child, who has recently been diagnosed with celiac disease.

Which foods should the nurse include in the list of permissible foods for this child?

Rice

Barley

Rye

Oats

Answer and Explanation

The Correct Answer is A

Choice A rationale
Rice is a gluten-free grain and is safe for individuals with celiac disease to consume.
Choice B rationale
Barley contains gluten, a protein that triggers an immune response in people with celiac disease, damaging the lining of the small intestine. Therefore, barley should be avoided.
Choice C rationale
Rye also contains gluten and should be avoided by individuals with celiac disease.
Choice D rationale
Oats are often cross-contaminated with gluten-containing grains and should be consumed with caution. Only oats labeled as gluten-free are safe for individuals with celiac disease.

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Correct Answer is B

Explanation

Choice A rationale
While infant formula is a common feeding option, it does not enhance the absorption of iron. In fact, iron is better absorbed when taken with vitamin C, which is abundant in orange juice.
Choice B rationale
The mother is correctly administering the iron drops. Giving iron with orange juice can enhance iron absorption due to the vitamin C content.
Choice C rationale
Mixing the iron drops in the orange juice is not necessary and could potentially alter the taste of the juice.
Choice D rationale
There is no need to refrain from feeding the infant for 30 minutes after giving the iron drops.

A. Compare the child’s vital signs over the past three weeks. B. Counsel the parents to pay more attention to the child. C. Ask the boy to describe a typical day at school. D. Conduct a complete neurological assessment.

Correct Answer is C

Explanation

The correct answer is: C

Choice A reason: Comparing the child’s vital signs over the past three weeks could provide data on any changes in his physical health status. However, without additional context, this information alone may not be sufficient to determine the cause of his symptoms. Vital signs are typically within the following ranges for a healthy 10-year-old: temperature 97.8°F to 99.1°F (36.5°C to 37.3°C), pulse 70 to 110 beats per minute, respirations 17 to 22 breaths per minute, and blood pressure 90/60 mmHg to 120/80 mmHg.

Choice B reason: Counseling the parents to pay more attention to the child might be helpful if the child’s symptoms are due to emotional neglect or lack of parental involvement. However, this intervention assumes that the parents are not attentive without evidence and does not directly address the child’s reported symptoms.

Choice C reason: Asking the boy to describe a typical day at school is a non-invasive way to gather more information about potential stressors or issues that could be contributing to his symptoms. This approach can help identify if the symptoms are related to school environment, bullying, academic pressure, or other psychosocial factors.

Choice D reason: Conducting a complete neurological assessment would be appropriate if there were specific indications of neurological issues. Since the boy’s symptoms are non-specific and could be related to a variety of causes, including stress or anxiety, a neurological assessment might not be the most immediate step without further evidence suggesting a neurological cause.

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A nurse is educating parents about essential dietary modifications for their child, who has recently been diagnosed with celiac disease. Which foods should the nurse include in the list of permissible foods for this child?

Nursing Test Bank

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A nurse is educating parents about essential dietary modifications for their child, who has recently been diagnosed with celiac disease.

Which foods should the nurse include in the list of permissible foods for this child?