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 C
Explanation
Choice A rationale
Promoting range-of-motion is typically achieved through exercises and movement. Dynamic splinting aims to maintain a specific joint position rather than actively increasing range of motion, which might be counterproductive to hip stability in developmental dysplasia.
Choice B rationale
Increasing extension would involve straightening the hip joint. In developmental dysplasia of the hip, the goal of treatment is to maintain the femoral head within the acetabulum, which often requires a flexed and abducted position, not extension.
Choice C rationale
Maintaining abduction is the primary purpose of dynamic splinting in developmental dysplasia of the hip. Abduction helps to seat the femoral head deeply into the acetabulum, promoting proper hip development and stability by stimulating acetabular ossification.
Choice D rationale
Providing immobilization implies completely restricting movement. Dynamic splinting, like the Pavlik harness, allows some movement while maintaining the abduction, flexion, and external rotation necessary for proper hip development. Full immobilization is typically not the goal for developmental dysplasia.
Correct Answer is D
Explanation
Choice A rationale
Administering oxygen and suctioning are appropriate for respiratory distress, but turning the newborn from supine to prone every 2 hours does not prevent aspiration in tracheoesophageal fistula and may increase the risk of aspiration or worsen respiratory compromise by allowing refluxed gastric contents to enter the airway.
Choice B rationale
Offering sterile water per nipple is contraindicated in suspected tracheoesophageal fistula because it poses a significant aspiration risk, as the water will likely enter the trachea. Placing the infant in a prone position does not mitigate this aspiration risk during feeding.
Choice C rationale
Inserting an orogastric tube is appropriate, but giving feedings via gavage before confirmation is dangerous due to the risk of aspiration into the lungs if a fistula is present. Confirmation via x-ray is crucial to ensure the tube is correctly placed and feeding is safe.
Choice D rationale
Keeping the infant NPO (nothing by mouth) prevents aspiration of fluids or food into the respiratory tract, which is a major complication of tracheoesophageal fistula. Elevating the head of the crib to 30 degrees uses gravity to minimize gastroesophageal reflux and further reduce the risk of aspiration.
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