A nurse is providing education to a 12-year-old child who has been newly diagnosed with celiac disease. Which of the following statements by the client indicates a need for further teaching?

"Processed foods are acceptable, as long as they don't contain flour."

"I need to check food labels for hidden sources of gluten, like barley and rye."

"I need to avoid foods like bread, pasta, and cereal."

"My family should use separate serving utensils for gluten-free foods."

Answer and Explanation

The Correct Answer is A

A. This statement is incorrect because processed foods can contain gluten even if they don't have visible flour. Gluten can be found in many processed foods as an additive or stabilizer, such as in sauces, soups, and processed meats. It's important to always check food labels for gluten ingredients.

B. This is correct. Barley and rye are sources of gluten and must be avoided in a gluten-free diet for those with celiac disease.

C. This is correct. Foods like bread, pasta, and cereal commonly contain gluten and need to be avoided by individuals with celiac disease.

D. This is correct. Using separate serving utensils for gluten-free foods helps prevent cross-contamination, which is critical for managing celiac disease.

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Correct Answer is C

Explanation

A. 2-3 months is too early for palatoplasty, as the child’s palate and facial structures need time to develop. Surgical repair of the palate is typically done later, once the child is more developed.

B. 18-24 months is too late for the initial palatoplasty. Early intervention is preferred for speech development and other aspects of the child’s overall growth.

C. 6-12 months is the recommended age range for palatoplasty, as this is the time when the child’s palate has matured enough for surgery, and earlier intervention supports optimal outcomes for speech and facial development.

D. 4-5 years is too late for the first palatoplasty. However, additional surgeries or interventions may be needed during this age range as the child grows and their oral structures continue to develop.

A. Place the client in a semi-Fowler's position. B. Admit the client to a private room. C. Implement seizure precautions. D. Measure head circumference every shift.

Correct Answer is D

Explanation

A. Placing the client in a semi-Fowler's position is appropriate to help alleviate pressure on the brain and improve comfort. This position can also help with respiratory function, which may be compromised in meningitis.

B. Admitting the client to a private room is necessary to prevent the spread of the infection to other patients. Bacterial meningitis is highly contagious, and isolation is important to limit exposure.

C. Implementing seizure precautions is essential in managing a child with bacterial meningitis because the infection can cause increased intracranial pressure, which may lead to seizures.

D. Measuring head circumference every shift is unnecessary for this child, as it is typically done for infants to monitor for signs of hydrocephalus or increased intracranial pressure. In a 6-year-old child, clinical signs and imaging studies are more reliable for monitoring ICP.

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A nurse is providing education to a 12-year-old child who has been newly diagnosed with celiac disease. Which of the following statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At what age is it generally recommended to perform palatoplasty for a child with a cleft palate?

Correct Answer is C

Explanation

A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?

Correct Answer is D

Explanation

A nurse working on a medical unit is caring for a client who is prescribed seizure precautions. Which of the following interventions should the nurse include in the client's plan of care?

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