A nurse is providing breakfast for a client who has celiac disease. Which of the following meal items should the nurse select?
Rye toast with herbal tea.
Graham crackers with peanut butter.
Rice cereal with sliced bananas.
Poached eggs with a wheat bagel.
The Correct Answer is C
Choice A rationale:
Rye toast with herbal tea is also not appropriate for someone with celiac disease. Rye bread contains gluten, and even though herbal tea is gluten-free, the combination with rye toast would still be harmful to the client.
Choice B rationale:
Graham crackers with peanut butter are not suitable for a client with celiac disease. Graham crackers are typically made from wheat flour, which contains gluten, a protein that individuals with celiac disease must avoid to prevent intestinal damage.
Choice C rationale:
The correct choice is rice cereal with sliced bananas. Rice cereal is naturally gluten-free and therefore safe for individuals with celiac disease. Sliced bananas can add flavor and nutrients to the meal without causing any harm to the client's condition.
Choice D rationale:
Poached eggs with wheat bagel is an unsuitable option. Wheat bagels contain gluten, which is harmful to individuals with celiac disease. Even though poached eggs are gluten-free, the risk of cross-contamination from the wheat bagel would be too high for this client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B: Muscle weakness.
Choice A rationale:
Exaggerated reflexes are not typically associated with water intoxication. They can be a sign of other neurological conditions but not specifically related to the administration of hypotonic IV fluids.
Choice B rationale:
Muscle weakness is a symptom of water intoxication, which can occur due to the dilution of electrolytes, including sodium, in the body when a hypotonic solution is administered.
Choice C rationale:
Hypernatremia, or high levels of sodium in the blood, is the opposite of what occurs in water intoxication. Water intoxication leads to hyponatremia, which is a low sodium concentration in the blood.
Choice D rationale:
Weak pulses are not a direct indicator of water intoxication. While they can be associated with various conditions, they do not specifically point to water intoxication following the administration of a hypotonic IV fluid bolus.
Correct Answer is D
Explanation
Choice A rationale: 1 cup of milk contains about 100 mg of sodium. This is a moderate amount of sodium, but it is not the highest compared to the other options.
Choice B rationale: 4 oz of vanilla pudding contains about 153 mg of sodium. This is higher than the sodium content in 1 cup of milk, but we need to compare it with the other options.
Choice C rationale: 1/2 cup of yogurt contains about 86 mg of sodium. This is less than the sodium content in both 1 cup of milk and 4 oz of vanilla pudding.
Choice D rationale: 2 oz of processed cheese can contain around 375 mg of sodium. This is significantly higher than the sodium content in 1 cup of milk, 4 oz of vanilla pudding, and 1/2 cup of yogurt.
So, the correct answer is, after analyzing all choices, D. 2 oz of processed cheese has the highest sodium content.
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