A nurse is assisting with developing a dietary plan for a 2-year-old toddler whose family is from another country. Which of the following recommendations should the nurse make?

A. Wheat toast and jelly: Wheat contains gluten, which triggers an immune response in clients with celiac disease. Consuming wheat products can damage the intestinal villi and exacerbate malabsorption and gastrointestinal symptoms, making this an inappropriate choice.

B. Graham crackers with peanut butter: Graham crackers are typically made with wheat flour and contain gluten. Even paired with peanut butter, this snack is unsafe for a child with celiac disease and should be avoided to prevent intestinal injury and nutrient deficiencies.

C. Beef barley soup: Barley contains gluten and is contraindicated for clients with celiac disease. Including barley in the diet can provoke symptoms such as diarrhea, abdominal pain, and long-term intestinal damage.

D. Corn tortillas with black beans: Corn and black beans are naturally gluten-free and safe for children with celiac disease. This combination provides a balanced source of carbohydrates and protein without triggering the autoimmune response associated with gluten ingestion.

A. Instruct the client to report the theft to the police: While reporting to law enforcement is an option, the client may feel intimidated or unsafe doing so, and immediate protection and assessment of the situation are more urgent. The nurse’s priority is ensuring safety and initiating appropriate protective services.

B. Report the possible abuse to adult protective services: Financial exploitation is a form of elder abuse. Nurses are mandated reporters and should notify adult protective services to investigate and intervene as needed. This ensures the client’s safety, prevents further exploitation, and connects them with resources for protection and support.

C. Ask the client if there is another family member they can call for financial help: While exploring support systems is important, relying on another family member without assessment may not address potential abuse and does not fulfill the nurse’s legal obligation to report suspected exploitation.

D. Restrict visitation for the client's family until discharge: Restricting visitation may limit contact temporarily, but it does not address the underlying abuse or ensure ongoing protection. Reporting to protective services provides a structured and legal mechanism for safeguarding the client.