A nurse is providing breakfast for a client who has celiac disease. Which of the following meal items should the nurse select?
Rice cereal with sliced bananas
Rye toast with herbal tea
Poached eggs with wheat bagel
Graham crackers with peanut butter
The Correct Answer is A
Celiac disease is an autoimmune disorder in which the ingestion of gluten, a protein found in wheat, rye, and barley, triggers an immune response and causes damage to the small intestine. Therefore, individuals with celiac disease need to follow a strict gluten-free diet.
Rice cereal with sliced bananas: This is a suitable choice as long as the rice cereal is gluten-free and there is no cross-contamination with gluten-containing ingredients. Rice is
naturally gluten-free, and fresh fruits like bananas are safe for individuals with celiac disease.
Rye toast with herbal tea: Rye is a gluten-containing grain, so rye toast is not suitable for someone with celiac disease. Herbal tea is typically gluten-free, but the toast is not appropriate.
Graham crackers with peanut butter: Graham crackers are usually made with wheat flour, which contains gluten. Therefore, they are not suitable for someone with celiac disease.
Poached eggs with wheat bagel: Wheat is a gluten-containing grain, so a wheat bagel is not appropriate for someone with celiac disease.
It is essential for individuals with celiac disease to carefully read food labels and select gluten-free options.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
"My baby will receive the most milk within the first 10 minutes of the feeding": This statement is correct. During the first few minutes of breastfeeding, the baby receives the foremilk, which is more watery and quenches their thirst. The hindmilk, which is higher in fat and provides more calories, is obtained as the feeding progresses.
"I need to supplement feedings with water once my baby is 4 months old": Breast milk provides all the necessary fluids for the baby, and additional water supplementation is generally not needed for exclusively breastfed infants.
"The purpose of alternating breasts during feedings is to promote comfort": The purpose of alternating breasts during feedings is to ensure that the baby receives both foremilk and hindmilk from each breast and to stimulate milk production in both breasts. It is not primarily for promoting comfort.
"During the first few weeks, I should nurse my baby every 4 hours": Breastfed newborns typically feed more frequently than every 4 hours, especially during the early weeks.
On-demand feeding is recommended, which means feeding the baby whenever they show hunger cues, which can be more frequent than every 4 hours.
Correct Answer is B
Explanation
2-hour glucose tolerance test level 150 mg/dL: The 2-hour glucose tolerance test level of 150 mg/dL indicates elevated blood glucose levels after a glucose challenge. This finding suggests impaired glucose tolerance or impaired fasting glucose, which are considered pre-diabetic states. It is important to report this finding to the provider for further evaluation and consideration of interventions to prevent or delay the development of diabetes mellitus.
Fasting blood glucose 70 mg/dL: A fasting blood glucose level of 70 mg/dL is within the normal range. Typically, fasting blood glucose levels below 100 mg/dL are considered normal.
Therefore, this finding does not indicate a concern for diabetes.
Glycosylated hemoglobin 5%: A glycosylated hemoglobin (HbA1c) level of 5% is within the normal range. HbA1c is a measure of average blood glucose levels over the past two to three months, and a level below 5.7% is typically considered normal. Therefore, this finding does not indicate a concern for diabetes.
Casual blood glucose 90 mg/dL: A casual blood glucose level of 90 mg/dL is within the normal range. Casual blood glucose levels below 140 mg/dL are generally considered normal.
Therefore, this finding does not indicate a concern for diabetes.
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