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The nurse is caring for a 14-year-old client diagnosed with celiac disease. The nurse knows that the client understands the diet instructions when they request which of the following meals?

Low-fat yogurt with blueberries and granola

Cheese, banana slices, rice cakes, and whole milk

Eggs, bacon, rye toast, and lactose-free milk

Egg, cheese, and sausage wrapped in a flour tortilla

Answer and Explanation

The Correct Answer is B

A. Granola often contains gluten, so this meal would not be suitable for someone with celiac disease.

B. Cheese, banana slices, rice cakes, and whole milk are gluten-free and appropriate for a child with celiac disease.

C. Rye toast contains gluten, which is contraindicated for someone with celiac disease.

D. Flour tortillas generally contain gluten, so this meal is not appropriate for someone with celiac disease.

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Correct Answer is D

Explanation

A. Monitoring for infection is important, but the white blood cell count is within normal limits, so it is not the immediate priority.

B. Although the hemoglobin is slightly low, it is not critically low, so transfusion of packed red blood cells is not immediately necessary.

C. Intravenous immunoglobulins are not indicated based on the current lab values.

D. The platelet count is critically low, placing the client at high risk for bleeding. Initiating bleeding precautions is the priority to prevent hemorrhage.

A. Partial to complete paralysis in the lower extremities B. Unilateral port-wine birthmark C. A protruding sac containing abdominal contents D. A fusion of cranial suture lines

Correct Answer is A

Explanation

A. Myelomeningocele is a type of spina bifida where there is a protrusion of the meninges and spinal cord through a defect in the vertebrae. This condition can result in partial to complete paralysis in the lower extremities due to the involvement of the spinal cord.

B. A unilateral port-wine birthmark is typically associated with conditions like Sturge-Weber syndrome, not myelomeningocele.

C. A protruding sac containing abdominal contents is characteristic of omphalocele, not myelomeningocele.

D. Fusion of cranial suture lines is not associated with myelomeningocele but rather with craniosynostosis.

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The nurse is caring for a 14-year-old client diagnosed with celiac disease. The nurse knows that the client understands the diet instructions when they request which of the following meals?

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Correct Answer is D

Explanation

A newborn has been admitted to the intensive care unit with a diagnosis of myelomeningocele. The nurse could expect which of the following with the disorder?

Correct Answer is A

Explanation

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The nurse is caring for a 14-year-old client diagnosed with celiac disease. The nurse knows that the client understands the diet instructions when they request which of the following meals?

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