The practical nurse (PN) is caring for a school-aged child who has laboratory results that reveal the presence of antigliadin and antiendomysial immunoglobulin G and immunoglobulin A antibodies.
The PN should identify with the parent and child which food to avoid after discharge to home?
Sweet potatoes.
Wheat bread.
Orange juice.
Swiss cheese.
The Correct Answer is B
Choice A rationale
Sweet potatoes are a gluten-free root vegetable. They are rich in vitamins, minerals, and fiber, and their consumption is safe for individuals with celiac disease or gluten sensitivity. The presence of antigliadin and antiendomysial antibodies indicates a gluten-related disorder, necessitating avoidance of gluten-containing grains, not sweet potatoes.
Choice B rationale
Wheat bread contains gluten, a protein complex found in wheat, barley, and rye. Antigliadin and antiendomysial antibodies are serological markers for celiac disease, an autoimmune disorder triggered by gluten ingestion, leading to small intestinal damage. Therefore, individuals with these antibodies must avoid gluten-containing foods like wheat bread to prevent symptomatic flares and intestinal damage.
Choice C rationale
Orange juice is a gluten-free beverage, primarily composed of water, sugars, and vitamins. It does not contain any gluten-derived proteins. Its consumption is safe for individuals with celiac disease or gluten sensitivity, as it will not elicit an immune response or contribute to intestinal damage in those with antigliadin and antiendomysial antibodies.
Choice D rationale
Swiss cheese is a dairy product and naturally gluten-free. It consists primarily of milk proteins, fats, and calcium, with no gluten-containing grains. Individuals with celiac disease or gluten sensitivity can safely consume Swiss cheese without triggering an immune response, as it does not contain the specific proteins that activate antigliadin and antiendomysial antibodies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Cheese is a good source of calcium and protein, but it is not a primary source of iron. Iron is essential for hemoglobin synthesis, and the client's hemoglobin and hematocrit levels are below normal ranges [Hemoglobin, pregnant female > 11 g/dL ( > 110 g/L); Hematocrit, pregnant female > 33% ( > 0.33 volume fraction)], indicating iron deficiency anemia.
Choice B rationale
Cauliflower is a cruciferous vegetable rich in vitamin C and fiber, but its iron content is relatively low. While vitamin C aids in iron absorption, cauliflower itself does not provide a significant amount of dietary iron to effectively address the client's anemic status.
Choice C rationale
Carrots are well-known for their beta-carotene content, a precursor to vitamin A, and provide fiber. However, carrots are not a significant source of iron. To combat iron deficiency anemia during pregnancy, foods rich in heme iron or non-heme iron with good bioavailability are required.
Choice D rationale
Chicken, particularly the dark meat, is a good source of heme iron, which is more readily absorbed by the body compared to non-heme iron found in plant-based foods. Given the client's anemic status, increasing dietary intake of iron-rich foods like chicken is crucial for improving hemoglobin and hematocrit levels.
Correct Answer is A
Explanation
Choice A rationale
Excessive swallowing after a tonsillectomy is a critical sign of postoperative hemorrhage, as blood pooling in the pharynx triggers the swallowing reflex. Promptly informing the registered nurse allows for immediate assessment, potential intervention to control bleeding, and prevention of airway compromise or hypovolemic shock.
Choice B rationale
Offering fluids to soothe the throat is contraindicated in suspected hemorrhage as it may increase the risk of aspiration or obscure the amount of blood being swallowed. It also delays the critical assessment and intervention required for active bleeding.
Choice C rationale
Administering supplemental oxygen per prescription is a supportive measure for respiratory distress. While potentially necessary if the child's oxygen saturation drops, it does not address the underlying cause of excessive swallowing, which is likely hemorrhage, and should not be prioritized over reporting the cardinal sign.
Choice D rationale
Elevating the child's head to promote drainage is a general comfort measure and may help with swelling. However, it does not directly address active bleeding. In a suspected hemorrhage, the primary concern is to identify and manage the source of bleeding, not merely to promote drainage.
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