A nurse is providing dietary teaching to a client who has celiac disease.
Which of the following food choices by the client indicates an understanding of the teaching?
Whole wheat bread
Oatmeal cookies
Corn tortillas
Barley soup.
The Correct Answer is C
Corn tortillas.
Celiac disease is a condition that causes damage to the small intestine when gluten is ingested.
Gluten is a protein found in wheat, barley, rye and oats.
Corn tortillas are made from corn flour, which does not contain gluten and is safe for people with celiac disease.
Choice A is wrong because whole wheat bread contains gluten, which can trigger an immune response and damage the small intestine in people with celiac disease.
Choice B is wrong because oatmeal cookies also contain gluten, either from the oats themselves or from cross-contamination with other grains.
Choice D is wrong because barley soup contains barley, which is another source of gluten that can harm people with celiac disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This statement indicates that the parent understands the signs of acute bilirubin encephalopathy, a serious complication of hyperbilirubinemia that can cause brain damage.
The parent should seek immediate medical attention if these symptoms occur.
Choice B is wrong because “I will keep my baby fully clothed and wrapped in blankets.” This statement indicates that the parent does not understand the role of phototherapy in treating hyperbilirubinemia.Phototherapy is a treatment wherein a baby is placed under a special blue spectrum light to reduce the bilirubin levels.The baby should be exposed to as much light as possible, with only the eyes and genitals covered.
Choice C is wrong because “I will limit breastfeeding to no more than 10 minutes per session.” This statement indicates that the parent does not understand the importance of adequate hydration and nutrition in preventing and treating hyperbilirubinemia.Breastfeeding should not be interrupted or limited, as it provides fluids and calories that help the baby excrete bilirubin through urine and stool.The American Academy of Pediatrics recommends breastfeeding at least 8 to 12 times per day for newborns.
Choice D is wrong because “I will avoid exposing my baby to sunlight or artificial light.” This statement indicates that the parent does not understand the difference between natural and artificial light sources for phototherapy.Sunlight or artificial light from lamps or windows are not effective or safe for treating hyperbilirubinemia, as they do not emit the right wavelength or intensity of light, and they can cause overheating, dehydration, sunburn, or eye damage.
The baby should receive phot
Correct Answer is C
Explanation
Bronchospasm.
Bronchospasm is a constriction of the airways that causes wheezing and trouble breathing.It is one of the symptoms of anaphylaxis, a severe allergic reaction that can occur within minutes of exposure to something you’re allergic to, such as a bee sting.
Choice A is wrong because bradycardia is a slow heart rate, not a fast one.Anaphylaxis causes a weak and rapid pulse due to low blood pressure.
Choice B is wrong because hypertension is high blood pressure, not low.Anaphylaxis causes blood pressure to drop suddenly and can lead to shock.
Choice D is wrong because warm, dry skin is not a sign of anaphylaxis.Anaphylaxis causes skin reactions such as hives, itching, flushed or pale skin.
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