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. Consuming a diet high in iron-rich foods, such as lean meats, beans, and leafy vegetables, can help prevent iron deficiency anemia.

B. Regular consumption of fortified cereals provides essential nutrients, including iron, which can help prevent anemia.

C. This is the correct answer. Excessive intake of cow's milk can be a risk factor for iron deficiency anemia in toddlers because cow's milk is low in iron and can interfere with iron absorption. Additionally, consuming large amounts of cow's milk can cause gastrointestinal blood loss, further contributing to iron deficiency.

D. While participating in physical activities is important for a toddler's growth and development, it does not directly relate to an increased risk for iron deficiency anemia.

A. Confusion and altered mental status B. Increased diastolic pressure with narrowing pulse pressure C. Irregular, rapid heartbeat D. Rapid, shallow breathing

Correct Answer is B

Explanation

A. Confusion and altered mental status can be signs of increased ICP, but these symptoms are not specific. Confusion or altered consciousness may also be observed in other conditions, so this alone may not definitively indicate increased ICP.

B. Increased diastolic pressure with narrowing pulse pressure is a classic sign of increased intracranial pressure and is a key component of Cushing's triad. This triad, which also includes bradycardia and irregular respirations, is a critical indicator of impending brain herniation and requires immediate intervention.

C. Irregular, rapid heartbeat is not a direct sign of increased ICP. While heart rate changes can occur with changes in ICP, they are usually seen as part of Cushing’s triad and would typically present with bradycardia, not rapid heartbeat.

D. Rapid, shallow breathing can occur in response to other conditions, but it is not the most specific or early sign of increased ICP. Changes in the respiratory pattern with increased ICP often involve more distinct alterations like Cheyne-Stokes or irregular breathing patterns.

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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

Which of the following is a risk factor for iron deficiency anemia in toddlers?

Correct Answer is C

Explanation

A child with a head injury is at risk for increased intracranial pressure (ICP). Which change in status would alert the nurse to believe an increase in ICP has occurred?

Correct Answer is B

Explanation

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