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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The absolute neutrophil count (ANC) is the best indicator of a child's ability to fight infection. Neutrophils are a type of white blood cell crucial for fighting bacterial infections, and chemotherapy can suppress bone marrow production of neutrophils. The ANC helps assess the risk for infection and the need for additional precautions, such as infection control.
B. Eosinophils are a type of white blood cell that primarily respond to allergies and parasitic infections, and their count is not used to assess infection risk in chemotherapy patients.
C. The red blood cell count (RBC) is important for assessing oxygen-carrying capacity but does not directly relate to infection-fighting ability.
D. Hemoglobin (Hgb) reflects the oxygen-carrying capacity of the blood, not the body's ability to fight infection.
Correct Answer is A
Explanation
A. Placing the client on their side is the correct action to prevent aspiration and help keep the airway open during a seizure. It also helps drain secretions and can reduce the risk of choking.
B. Holding the client's arms and legs is not recommended during a seizure because this can lead to injury to the client and the nurse. Seizure activity should be allowed to run its course in a safe environment.
C. Placing the client back in bed during a seizure could be dangerous, as it is better to keep the client safe on the floor to prevent falling or injury. The priority is ensuring the client’s safety during the seizure rather than moving them back into bed.
D. Inserting a tongue blade in the client's mouth is an outdated practice and can lead to injury or even cause the client to bite down on the tongue blade. There is no need to insert anything into the mouth during a seizure.
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