A nurse is teaching the guardian of a newborn about car seat safety. Which of the following statements by the guardian indicates an understanding of the teaching?

 

Choice A reason: Whole wheat pasta contains gluten, contraindicated in celiac disease, causing intestinal damage. Corn tortillas are gluten-free. Recommending wheat pasta risks exacerbation of symptoms like diarrhea, critical to avoid in ensuring dietary safety and preventing long-term complications in preschoolers with celiac disease.

Choice B reason: A corn tortilla with black beans is gluten-free, safe for celiac disease, avoiding intestinal damage. This recommendation supports nutritional needs, critical for growth, preventing symptoms like malabsorption, and ensuring dietary adherence, essential for managing celiac disease effectively in preschoolers with dietary restrictions.

Choice C reason: Barley contains gluten, harmful in celiac disease, risking intestinal inflammation. Corn tortillas are safe. Recommending barley soup risks symptoms like abdominal pain, critical to avoid in ensuring gluten-free nutrition, supporting health, and preventing complications in preschoolers managing celiac disease through diet.

Choice D reason: Rye bread contains gluten, contraindicated in celiac disease, causing gut damage. Corn tortillas are appropriate. Recommending rye risks malabsorption or growth issues, critical to prevent in ensuring a gluten-free diet, supporting nutritional health, and managing celiac disease in preschoolers effectively.

Choice A reason: A long-term care referral is premature for an independent client with type 2 diabetes, as it assumes significant functional decline. Rural clients benefit from accessible care like telehealth to manage chronic conditions, making this intervention less appropriate than supporting independence.

Choice B reason: Adult day care three times weekly is unnecessary for an independent client and may not address diabetes management directly. It is less practical in rural areas with limited access, making telehealth a more feasible and targeted intervention for ongoing care.

Choice C reason: Reviewing assisted living is inappropriate for an independent client managing type 2 diabetes. It overlooks the client’s ability to live autonomously with support like telehealth, which is more suitable for rural settings to maintain independence and manage chronic conditions.

Choice D reason: Telehealth services enable rural clients with type 2 diabetes to access regular monitoring, education, and consultations, overcoming geographic barriers. This supports independent living, enhances glycemic control, and prevents complications, making it the most appropriate intervention for this client’s care plan.