A nurse is providing teaching about food choices to the parent of a school-age child who has celiac disease. Which of the following statements by the parent indicates an understanding of the teaching?
"I can offer popcorn as a snack food."
"I will make sandwiches on rye bread."
"I will purchase graham crackers to pack in their lunchbox."
"I can make beef barley soup for dinner."
The Correct Answer is A
A. "I can offer popcorn as a snack food." Popcorn is gluten-free and safe for children with celiac disease.
B. "I will make sandwiches on rye bread." Rye contains gluten and should be avoided.
C. "I will purchase graham crackers to pack in their lunchbox." Graham crackers often contain gluten and are unsuitable unless specifically labeled gluten-free.
D. "I can make beef barley soup for dinner." Barley contains gluten and is not safe for children with celiac disease.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I will breathe in through the mouthpiece, hold my breath for 5 seconds, and then exhale.": Incorrect because the child should exhale forcefully and quickly into the device, not inhale or hold their breath.
B. "If I get a reading in the green zone, I will tell my parents right away so they can call the doctor.": Incorrect because a green zone reading indicates controlled asthma, and no immediate action is required.
C. "I will slowly exhale through the mouthpiece over a 10-second interval.": Incorrect because the exhalation should be rapid and forceful to measure peak flow effectively.
D. "I will record the highest reading of the three attempts." Recording the highest reading ensures accurate monitoring of airway status and helps the child track their progress over time.
Correct Answer is C
Explanation
A. Educate the infant's caregiver about the feeding: While important, education should occur after ensuring the prescription is correct.
B. Flush the feeding tube before the feeding: This ensures patency but should only be done after verifying the prescription.
C. Clarify the feeding prescription with the provider. Bolus feedings are typically contraindicated with nasojejunal tubes because the jejunum cannot handle large volumes at once. Continuous feedings are usually prescribed. The prescription should be clarified before proceeding.
D. Place a label on the feeding bag and tubing: Labeling is necessary for safety but is not the priority when the prescription may be inappropriate.
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