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. Persistent primitive reflexes (such as the Moro, tonic neck, or grasp reflex) are a hallmark finding in young children with cerebral palsy. Normally, these reflexes disappear as the nervous system matures. Their persistence indicates delayed or abnormal neurological development, which is common in cerebral palsy.
B. Children with cerebral palsy often demonstrate abnormal muscle tone, which may be spastic (increased tone), hypotonic (low tone), or fluctuate between both. Normal tone is not expected.
C. Symmetrical, well-coordinated movements are typically impaired. Children may show asymmetry, abnormal posture, or involuntary movements.
D. Gross motor skill development is often delayed or abnormal due to impaired muscle coordination and tone.
Correct Answer is C
Explanation
A. Spicy foods can irritate the oral mucosa and worsen mucositis; they should be avoided.
B. Oral hygiene should not be avoided—gentle oral care is essential to reduce infection risk and discomfort.
C. Using a soft-bristle toothbrush is correct because it allows for oral hygiene while minimizing trauma to delicate tissues.
D. Ice-cold beverages may provide temporary comfort but do not replace the need for proper oral care with a soft-bristle brush.
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