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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Pulse rate of 118/min: In a client with fluid volume deficit, the pulse rate often increases as the body compensates for reduced blood volume.

B. Blood pressure of 152/90 mm Hg: This blood pressure reading does not specifically indicate fluid volume deficit as it can be influenced by various factors, including vascular tone and cardiac function.

C. Temperature of 37.2° C (99° F): This temperature reading is within the normal range and does not directly reflect fluid volume status.

D.Central venous pressure 25 mm Hg: This is elevated and typically suggests fluid volume excess rather than deficit.

A. HbA1c 5% B. Fasting glucose 140 mg/dL C. LDL 64 mg/dL D. Total cholesterol 173 mg/dL

Correct Answer is B

Explanation

Coronary heart disease (CHD) is a condition characterized by the buildup of plaque in the coronary arteries, leading to reduced blood flow to the heart. Several risk factors contribute to the development of CHD, including high blood glucose levels, high levels of low-density lipoprotein (LDL) cholesterol, and high total cholesterol levels.

HbA1c 5%: HbA1c is a measure of average blood glucose levels over the past 2-3 months. A level of 5% is within the target range for individuals without diabetes and indicates good glycemic control. It does not place the client at risk for CHD.

Fasting glucose 140 mg/dL: Fasting glucose levels above 126 mg/dL are considered diagnostic criteria for diabetes mellitus. A level of 140 mg/dL indicates hyperglycemia and suggests impaired glucose metabolism, which is a risk factor for CHD.

LDL 64 mg/dL: LDL cholesterol is often referred to as "bad" cholesterol, as elevated levels are associated with an increased risk of CHD. A level of 64 mg/dL is within the desirable range and does not place the client at risk for CHD.

Total cholesterol 173 mg/dL: Total cholesterol levels below 200 mg/dL are generally considered desirable. A level of 173 mg/dL is within the desirable range and does not place the client at risk for CHD.

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A nurse is providing breakfast for a client who has celiac disease. Which of the following meal items should the nurse select?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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