What is a priority nursing intervention for a child diagnosed with celiac disease?
Encouraging the child to consume gluten-rich foods
Promoting high-fiber foods in the child's diet
Ensuring the child's diet is free of wheat, barley, and rye
Limiting the child's intake of lean proteins
The Correct Answer is C
A. Encouraging gluten-rich foods (such as wheat, barley, and rye) worsens symptoms of celiac disease by triggering an autoimmune response that damages the intestinal villi, leading to malabsorption and long-term complications.
B. High-fiber foods may be beneficial for general health, but the priority is eliminating gluten first. Fiber can still be provided from safe gluten-free sources such as fruits, vegetables, and gluten-free grains like rice, quinoa, and corn.
C. Ensuring the child's diet is free of wheat, barley, and rye is the cornerstone of treatment for celiac disease. Strict lifelong adherence to a gluten-free diet allows the intestinal villi to heal, improves nutrient absorption, and prevents complications such as anemia, growth delays, and increased risk of intestinal malignancy.
D. Lean proteins (chicken, fish, eggs, legumes) are safe and encouraged as part of a balanced, gluten-free diet. Restricting them would reduce important sources of nutrients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Facial and periorbital edema that decreases throughout the day is characteristic of nephrotic syndrome. Edema is most prominent around the eyes in the morning because fluid shifts into dependent areas (legs, ankles, abdomen) as the child becomes upright and active, making facial swelling less noticeable later in the day.
B. Facial redness that worsens in the evening is not associated with nephrotic syndrome. Redness is not a key feature of the condition.
C. Periorbital edema that increases throughout the day is the opposite of what typically occurs. The edema is worse in the morning, not the evening.
D. Swelling of the lower extremities and genitalia does occur in nephrotic syndrome but does not typically resolve or lessen throughout the day in the same way that periorbital edema does.
Correct Answer is ["0.25"]
Explanation
Ordered dose = 25 mcg
Available concentration = 0.5 mg/5 mL = 500 mcg/5 mL = 100 mcg/mL
Volume needed = Desired dose ÷ Concentration = 25 mcg ÷ 100 mcg/mL = 0.25 mL
Final Answer:0.25 mL
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