A nurse is providing teaching about a gluten-free diet to a client who has celiac disease. Which of the following foods should the nurse recommend the client include in his diet?
Salami
Barley
Corn
Wheat germ
The Correct Answer is C
A) Salami is typically not recommended for individuals with celiac disease because it often contains gluten as a filler or binder. Processed meats like salami may have additives or seasonings that contain gluten, so individuals with celiac disease should carefully read labels and choose gluten-free options.
B) Barley is a grain that contains gluten and is not suitable for individuals with celiac disease. It is commonly found in bread, cereals, soups, and other processed foods. Consuming barley can trigger adverse reactions in individuals with celiac disease due to the gluten content.
C) Corn is a suitable option for individuals with celiac disease who need to follow a gluten-free diet. Corn is naturally gluten-free and can be included in various forms, such as whole corn, cornmeal, or corn flour, in gluten-free recipes. It provides carbohydrates, fiber, vitamins, and minerals without containing gluten, making it a safe choice for those with celiac disease.
D) Wheat germ is derived from wheat, which contains gluten. Therefore, wheat germ is not appropriate for individuals with celiac disease as it can cause gluten-related symptoms. It's important for individuals with celiac disease to avoid all sources of gluten, including wheat and wheat-derived products like wheat germ.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C) Cephalhematoma:
A cephalhematoma is a collection of blood between the skull bone and its periosteum. It appears as a raised, bruised area on the scalp and is typically limited by suture lines. Unlike caput succedaneum, which typically resolves within a few days and crosses suture lines, a cephalhematoma does not cross suture lines and may take weeks to months to resolve.
A) Caput succedaneum:
Caput succedaneum is a localized swelling of the soft tissues of the scalp, usually resulting from pressure against the dilating cervix during labor. It typically crosses suture lines and resolves within a few days.
B) Pilonidal dimple:
A pilonidal dimple is a small pit or sinus in the sacrococcygeal area, not related to scalp findings.
D) Molding:
Molding refers to the shaping of the fetal head to adapt to the birth canal during labor and delivery. It is a temporary deformity and does not involve bruising or raised areas on the scalp.
Correct Answer is A
Explanation
A) Providing the client with food cut into small bites is a suitable action for a client with myasthenia gravis. This helps facilitate swallowing and reduces the risk of aspiration, which can be a concern for individuals with this condition due to muscle weakness, particularly in the throat and esophagus.
B) Instructing the client to take prescribed anticholinesterase medication with meals is indeed a crucial aspect of managing myasthenia gravis. Anticholinesterase medications help improve muscle strength by preventing the breakdown of acetylcholine, thus enhancing neuromuscular transmission. Taking these medications 30 minutes or so prior to meals optimizes absorption and minimizes gastrointestinal side effects.
C) Positioning the head of the client's bed to 40° while eating is beneficial for preventing aspiratio’ in clients with swallowing difficulties, including those with myasthenia gravis. This position helps reduce the risk of food or liquids entering the airway during swallowing.
D) Encouraging the client to lie down after eating is not recommended for individuals with myasthenia gravis, as it may increase the risk of aspiration. Instead, clients should remain upright for a period after eating to aid digestion and reduce the risk of reflux and aspiration pneumonia.
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