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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. While monitoring blood pressure is important, a blood pressure of 98/62 mm Hg may not immediately warrant notification unless there are signs of hypotension or other symptoms. The focus should be on careful management of fluid and electrolytes.

B. In cases of acute renal failure, potassium levels can become elevated due to impaired renal function. Therefore, IV fluids should typically be low in potassium to prevent hyperkalemia.

C. In acute renal failure, a diet high in protein and sodium is not recommended. Instead, dietary restrictions are usually advised to manage waste products and fluid balance.

D. Administering IV fluids slowly helps to prevent fluid overload, which is crucial in managing renal failure and maintaining hemodynamic stability.

A. Monitoring closely for signs of infection. B. Transfusing packed red blood cells. C. Administering intravenous immunoglobulins. D. Initiating bleeding precautions.

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.

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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

Correct Answer is D

Explanation

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