A nurse is providing breakfast for a client who has celiac disease. Which of the following meal items should the nurse select?
Rice cereal with sliced bananas
Rye toast with herbal tea
Poached eggs with wheat bagel
Graham crackers with peanut butter
The Correct Answer is A
Celiac disease is an autoimmune disorder in which the ingestion of gluten, a protein found in wheat, rye, and barley, triggers an immune response and causes damage to the small intestine. Therefore, individuals with celiac disease need to follow a strict gluten-free diet.
Rice cereal with sliced bananas: This is a suitable choice as long as the rice cereal is gluten-free and there is no cross-contamination with gluten-containing ingredients. Rice is
naturally gluten-free, and fresh fruits like bananas are safe for individuals with celiac disease.
Rye toast with herbal tea: Rye is a gluten-containing grain, so rye toast is not suitable for someone with celiac disease. Herbal tea is typically gluten-free, but the toast is not appropriate.
Graham crackers with peanut butter: Graham crackers are usually made with wheat flour, which contains gluten. Therefore, they are not suitable for someone with celiac disease.
Poached eggs with wheat bagel: Wheat is a gluten-containing grain, so a wheat bagel is not appropriate for someone with celiac disease.
It is essential for individuals with celiac disease to carefully read food labels and select gluten-free options.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Baked ham: Baked ham is typically high in saturated fat and sodium, which are not favorable for a heart-healthy diet. Consuming excessive amounts of saturated fat can contribute to high cholesterol levels and increase the risk of coronary artery disease.
Canned potato soup: Canned potato soup often contains high levels of sodium and may also be high in saturated fat, depending on the specific brand and recipe. Excess sodium intake can lead to high blood pressure, which is a risk factor for coronary artery disease. Therefore, canned potato soup is not an ideal choice for a heart-healthy diet.
Broiled salmon: Broiled salmon is an excellent choice for a heart-healthy diet. It is rich in omega-3 fatty acids, which have been shown to have cardiovascular benefits, including reducing the risk of heart disease. Salmon is also a good source of lean protein and contains
less saturated fat compared to red meats. It is recommended to choose broiled or grilled salmon rather than fried or breaded preparations to minimize added fats and oils.
Processed cheese: Processed cheese, such as cheese slices or spreads, tends to be high in saturated fat and sodium. These types of cheeses are not the best choice for a heart-healthy diet. It is better to opt for natural, low-fat cheeses or other dairy alternatives that are lower in saturated fat and sodium.
Correct Answer is ["A","C","D"]
Explanation
In a nutrition plan for a client at risk for malnutrition, the nurse should include the following actions:
Assess for pain prior to mealtime: Pain can significantly impact a person's appetite and ability to eat. Assessing for pain before mealtime can help identify any discomfort that may hinder the client's ability to eat.
Provide mouth care before feeding: Proper oral hygiene is essential for maintaining a healthy appetite and preventing oral health issues that can affect eating. Providing mouth care before feeding helps ensure a clean and comfortable oral environment.
Remove the bedpan from the client's sight: Sight and smell can have a significant impact on a person's appetite. Removing the bedpan from the client's sight can help create a more pleasant dining environment and promote a better appetite.
However, the following actions should not be included in the plan:
Discourage snacks between meals: For clients at risk for malnutrition, it may be necessary to encourage nutrient-dense snacks between meals to increase caloric intake. Discouraging snacks may further contribute to malnutrition.
Administer antiemetics following the meal: Administering antiemetics following a meal is not a routine action in a nutrition plan. Antiemetics are typically used to treat nausea and vomiting, which may interfere with a person's ability to eat, but their administration should be based on specific symptoms and prescribed by a healthcare provider.
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