A nurse is reinforcing teaching with the parents of a preschool-age child who has a new diagnosis of celiac disease. Which of the following foods should the nurse recommend?

Wheat toast and jelly

Graham crackers with peanut butter

Beef barley soup

Corn tortillas with black beans

Answer and Explanation

The Correct Answer is D

A. Wheat toast and jelly: Wheat contains gluten, which triggers an immune response in clients with celiac disease. Consuming wheat products can damage the intestinal villi and exacerbate malabsorption and gastrointestinal symptoms, making this an inappropriate choice.

B. Graham crackers with peanut butter: Graham crackers are typically made with wheat flour and contain gluten. Even paired with peanut butter, this snack is unsafe for a child with celiac disease and should be avoided to prevent intestinal injury and nutrient deficiencies.

C. Beef barley soup: Barley contains gluten and is contraindicated for clients with celiac disease. Including barley in the diet can provoke symptoms such as diarrhea, abdominal pain, and long-term intestinal damage.

D. Corn tortillas with black beans: Corn and black beans are naturally gluten-free and safe for children with celiac disease. This combination provides a balanced source of carbohydrates and protein without triggering the autoimmune response associated with gluten ingestion.

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Correct Answer is B

Explanation

A. Oral irrigating device: An oral irrigating device is used for oral hygiene but is not a priority for a client with bacterial meningitis. Infection control and safety interventions take precedence over routine hygiene equipment upon admission.

B. Seizure pads: Clients with bacterial meningitis are at risk for increased intracranial pressure and seizures due to inflammation of the meninges. Placing seizure pads on the bed helps prevent injury if a seizure occurs, ensuring client safety during acute illness.

C. Sterile gloves: Standard precautions require the use of clean gloves for routine care. Sterile gloves are necessary only for invasive procedures, not for general admission care, so they are not a priority item for the room setup.

D. Tongue blade: A tongue blade is used for throat examinations but is not essential for immediate care of a client with bacterial meningitis. Priority interventions focus on monitoring neurologic status and preventing complications such as seizures.

A. Avoiding actions that can cause harm to the client B. Prioritizing interventions that benefit the client C. Allowing the client to function independently D. Being honest with the client

Correct Answer is D

Explanation

A. Avoiding actions that can cause harm to the client: This action demonstrates the ethical principle of nonmaleficence, which focuses on preventing harm, rather than veracity. While important in nursing practice, it does not relate specifically to truthfulness.

B. Prioritizing interventions that benefit the client: This reflects the principle of beneficence, which emphasizes doing good and promoting the client’s well-being. It does not directly involve honesty or truthful communication with the client.

C. Allowing the client to function independently: Supporting autonomy involves respecting the client’s ability to make decisions and perform activities independently. While ethically important, it is not the same as veracity.

D. Being honest with the client: Veracity refers to truthfulness and providing accurate, complete information to clients. Being honest about diagnoses, treatments, and care plans ensures informed decision-making and builds trust between the nurse and client.

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A nurse is reinforcing teaching with the parents of a preschool-age child who has a new diagnosis of celiac disease. Which of the following foods should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to admit a client who has bacterial meningitis. Which of the following items should the nurse place in the client's room?

Correct Answer is B

Explanation

A nurse is discussing ethical principles with a newly licensed nurse. Which of the following actions should the nurse identify as demonstrating veracity?

Correct Answer is D

Explanation

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