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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 B

Explanation

. While pain management is important, the primary treatment for pyloric stenosis is surgical correction, not just analgesic medication.

B. Preparation for surgical correction, specifically a pyloromyotomy, is the standard treatment for pyloric stenosis to relieve the obstruction.

C. A barium enema is not used in the diagnosis or treatment of pyloric stenosis; it is typically used to diagnose other gastrointestinal conditions.

D. Thickened feedings with rice cereal are not indicated for pyloric stenosis and would not resolve the obstruction.

A. Delay the immunization if the child presents with nasopharyngitis. B. Evaluate for presence of allergies to vaccine components. C. Refrain from administering since the first dose is not given until 4 years of age. D. Administer intramuscularly into the vastus lateralis.

Correct Answer is B

Explanation

A. Mild illnesses like nasopharyngitis (a common cold) do not typically contraindicate vaccination, so there is no need to delay immunization.

B. It is essential to evaluate for allergies to vaccine components, such as gelatin or neomycin, which could contraindicate the administration of the varicella vaccine.

C. The first dose of the varicella vaccine is recommended at 12-15 months of age, not at 4 years of age, so it is appropriate to administer it during this well-check.

D. The varicella vaccine is administered subcutaneously, not intramuscularly, so this is not the correct route for administration.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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