The parents of a child diagnosed with celiac disease ask the nurse what types of food they can offer their child. Which of the following would the nurse include in the teaching plan?
Beef fajitas on corn tortillas
Turkey sandwich on rye bread
Vegetable beef and barley soup
Biscuits and cream gravy
The Correct Answer is A
Choice A reason: Corn tortillas are naturally gluten-free, making them a safe option for children with celiac disease. Beef fajitas, when prepared without gluten-containing marinades or additives, are also appropriate. This combination avoids wheat, rye, and barley, which are harmful to individuals with celiac disease due to the autoimmune reaction triggered by gluten.
Choice B reason: Rye bread contains gluten and is contraindicated in celiac disease. Even small amounts of gluten can damage the intestinal lining and cause symptoms such as diarrhea, abdominal pain, and malabsorption. A turkey sandwich should be served on gluten-free bread instead.
Choice C reason: Barley is a gluten-containing grain and must be avoided in celiac disease. Vegetable beef soup may be safe if prepared without barley or gluten-containing thickeners, but the inclusion of barley makes this option inappropriate.
Choice D reason: Biscuits are typically made with wheat flour, and cream gravy often contains flour as a thickening agent. Both components are likely to contain gluten and should be excluded from the diet of a child with celiac disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Recognizing and naming objects is a developmental milestone for a 12-month-old. Saying single words like "ball" appropriately demonstrates receptive and expressive language skills. This response validates the parents’ observation and encourages continued language development.
Choice B reason: While combining words into short sentences is a milestone typically reached around 18–24 months, expecting this at 12 months is premature. This response may discourage parents and does not acknowledge the child’s current achievement.
Choice C reason: This statement is dismissive and undermines parental engagement. It does not provide education or support and may damage rapport between the nurse and family.
Choice D reason: This response is unnecessarily critical and fails to recognize the child’s developmental progress. It may discourage parental involvement and does not reflect therapeutic communication.
Correct Answer is D
Explanation
Choice A reason: Guiding the parent step by step is an effective teaching method, especially during the initial instruction phase. However, it evaluates the nurse’s ability to teach rather than the parent’s ability to perform the skill independently. It does not assess retention or execution without prompting.
Choice B reason: Having the parent verbalize each step demonstrates cognitive understanding but does not confirm psychomotor skill. While it shows that the parent knows what to do, it does not ensure they can perform the task correctly or safely.
Choice C reason: Providing written instructions supports learning and reinforces teaching, but it is a passive method. It does not allow the nurse to assess whether the parent can apply the information in practice. It is a supplement, not an evaluation tool.
Choice D reason: Observing the parent perform the suctioning procedure is the most effective way to evaluate teaching. It allows the nurse to assess both understanding and skill execution, identify errors, and provide immediate feedback. This method ensures the parent can safely and correctly perform the task at home, which is critical for managing bronchiolitis.
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