A nurse is caring for a school-age child who has celiac disease. Which of the following food choices should the nurse incorporate into the child's diet?
Rye bread
Whole wheat pretzels
Graham crackers
Wild rice
The Correct Answer is D
A. Rye bread: Rye contains gluten, which triggers an autoimmune intestinal response in children with celiac disease. Even small amounts of gluten can damage the small-bowel villi and lead to malabsorption, abdominal discomfort, and long-term nutritional deficits. For this reason, rye products must be completely avoided in a gluten-free diet.
B. Whole wheat pretzels: Wheat is one of the primary sources of gluten, and whole wheat products contain high concentrations of it. Consuming these pretzels would provoke inflammation in the intestinal mucosa and worsen symptoms such as bloating, diarrhea, and poor nutrient absorption. These foods are unsafe for any child diagnosed with celiac disease.
C. Graham crackers: Graham flour is derived from wheat, making graham crackers a gluten-containing food. Despite their common use as snacks, they can contribute to ongoing intestinal injury in children with celiac disease when consumed regularly. They should be eliminated from the child’s meal plan to promote intestinal healing.
D. Wild rice: Wild rice is a naturally gluten-free grain alternative that does not trigger the immune response seen in celiac disease. It provides a safe source of carbohydrates and nutrients without risking intestinal inflammation. Incorporating wild rice supports dietary variety while maintaining strict gluten avoidance essential for long-term management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A client who has agonal respirations: Agonal respirations indicate imminent death and the likelihood of non-survivability. In a disaster triage situation, resources are prioritized for clients with the highest chance of survival, so this client would not be the immediate priority.
B. A client who has an open skull fracture and is unresponsive: This client has severe head trauma and a poor prognosis. While critical, disaster triage focuses on saving the most lives, so clients with non-survivable injuries are not prioritized over those who can benefit from immediate intervention.
C. A client who has a traumatic arm amputation: This client has a life-threatening injury that is potentially survivable with rapid intervention, such as hemorrhage control. In disaster triage, clients with critical but treatable injuries are prioritized first to maximize survival outcomes.
D. A client who has a fracture of the femur: Although a femur fracture is serious and requires care, it is generally not immediately life-threatening. This client can be treated after those with urgent, life-saving needs like hemorrhage control.
Correct Answer is C
Explanation
A. Keep the head of the client's bed at a 15° angle: Elevating the head of the bed only slightly is insufficient for optimal lung expansion. A higher elevation, usually 30–45°, is recommended to improve ventilation and ease breathing during an exacerbation.
B. Place the client on bedrest for 24 hr: Prolonged bedrest can decrease lung expansion and increase the risk of mucus retention. Encouraging activity as tolerated helps maintain respiratory function and prevents complications.
C. Instruct the client to increase fluid intake to 2.5 L per day: Increased fluid intake helps thin secretions, making them easier to expectorate. This is a key intervention in managing an acute exacerbation of chronic bronchitis to improve airway clearance.
D. Encourage the client to perform deep-breathing exercises every 6 hr: Deep-breathing exercises are beneficial, but they should be performed more frequently than every 6 hours, often hourly or as tolerated, to effectively prevent atelectasis and improve oxygenation.
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