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 C
Explanation
The nurse should include the instruction to "allow the toddler to feed himself" in the teaching. Allowing toddlers to self-feed promotes independence and helps develop their fine motor skills.
It also allows them to explore different textures and tastes of food, which can contribute to their overall development and acceptance of a variety of foods.
"Set meal times immediately after physical activity": It is not necessary to schedule meals immediately after physical activity. It is more important to focus on regular meal and snack times throughout the day to ensure the toddler's nutritional needs are met.
"Avoid snacks between meals": Snacks are an important part of a toddler's diet as they have small stomachs and may not be able to consume enough food during regular meal times.
Nutritious snacks can provide additional energy and nutrients to support their growth and development. However, it is important to choose healthy snacks and avoid excessive consumption of sugary or high-calorie snacks.
"Provide different food for the toddler than the parents": It is generally recommended to offer the same types of healthy foods to both the toddler and the rest of the family. This helps promote family meals and exposes the child to a variety of flavors and textures. However, the food may need to be prepared or served in a way that is suitable for the toddler's age and developmental stage (e.g., cut into small pieces or mashed).
Correct Answer is C
Explanation
"I should limit the amount of fiber in my diet": This statement demonstrates an understanding of the teaching. In Crohn's disease, certain types of fiber can be difficult to digest and may worsen symptoms such as abdominal pain, diarrhea, and bowel obstruction. Therefore, it is often recommended to limit the intake of high-fiber foods during active disease flares.
"I will need to take mild laxatives to help me have a bowel movement": Taking laxatives is not typically recommended for individuals with Crohn's disease unless specifically prescribed by a healthcare provider. Laxatives can further irritate the intestines and potentially worsen symptoms. Therefore, this statement does not demonstrate an understanding of the teaching.
"I am likely to gain weight due to this disease": Weight loss is a more common occurrence in individuals with Crohn's disease due to factors such as decreased appetite, malabsorption, and increased metabolism. Weight gain is not typically associated with the disease, so this statement does not indicate an understanding of the teaching.
"Avoiding glutamine will help me recover from this disease": Glutamine is an amino acid that plays a role in gut health and repair. It is often considered beneficial for individuals with Crohn's disease as it supports intestinal healing. Therefore, avoiding glutamine would not be recommended for recovery from the disease. This statement does not indicate an understanding of the teaching.
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