A nurse is providing breakfast for a client who has celiac disease. Which of the following meal items should the nurse select?
Rye toast with herbal tea.
Graham crackers with peanut butter.
Rice cereal with sliced bananas.
Poached eggs with a wheat bagel.
The Correct Answer is C
Choice A rationale:
Rye toast with herbal tea is also not appropriate for someone with celiac disease. Rye bread contains gluten, and even though herbal tea is gluten-free, the combination with rye toast would still be harmful to the client.
Choice B rationale:
Graham crackers with peanut butter are not suitable for a client with celiac disease. Graham crackers are typically made from wheat flour, which contains gluten, a protein that individuals with celiac disease must avoid to prevent intestinal damage.
Choice C rationale:
The correct choice is rice cereal with sliced bananas. Rice cereal is naturally gluten-free and therefore safe for individuals with celiac disease. Sliced bananas can add flavor and nutrients to the meal without causing any harm to the client's condition.
Choice D rationale:
Poached eggs with wheat bagel is an unsuitable option. Wheat bagels contain gluten, which is harmful to individuals with celiac disease. Even though poached eggs are gluten-free, the risk of cross-contamination from the wheat bagel would be too high for this client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice Arationale:
Applying low intermittent suction is used for nasogastric tube management to remove excess air or gastric contents and is not directly related to addressing cramping and abdominal distention. This action doesn't address the underlying issue.
Choice Brationale:
Increasing the rate of feeding is not the appropriate action to take in response to cramping and abdominal distention. It might worsen the discomfort and potentially overload the client's gastrointestinal system, leading to more issues.
Choice C rationale:
(Correct Choice) Checking for gastric residual is the appropriate action in this scenario. Cramping and abdominal distention can indicate delayed gastric emptying, which might be caused by an accumulation of feeding within the stomach. By checking for gastric residual, the nurse can assess whether there is a significant amount of residual feeding present, which might require adjusting the feeding rate or intervention.
Choice D rationale:
Requesting a higher-fat formula is not the initial action to take when the client reports cramping and abdominal distention. It assumes that the discomfort is due to the formula's composition, which might not be the case. First, assessing for gastric residual and considering other factors is important before changing the formula.
Correct Answer is B
Explanation
Choice A rationale:
Serving foods while still at a hot temperature (Choice A) is not an appropriate intervention for a client with stomatitis following radiation therapy. Stomatitis can cause inflammation and soreness in the mouth, and hot foods can further irritate the sensitive tissues, leading to increased discomfort and potential injury.
Choice B rationale:
Serving foods without sauces or gravies (Choice B) is the correct choice. Stomatitis often causes pain and discomfort in the mouth, and spicy or acidic foods, as well as those with sauces or gravies, can exacerbate this discomfort. Providing plain and bland foods can help reduce irritation and promote healing in sensitive oral tissues.
Choice Crationale:
Instructing the client to drink liquids without a straw (Choice C) is not a direct intervention for stomatitis. It's more commonly recommended for clients who have undergone oral surgery to prevent dislodging of blood clots. While it's generally a good practice for oral health, it might not significantly impact the discomfort caused by stomatitis.
Choice Drationale:
Offering mouth rinses with normal saline and water (Choice D) is generally a good practice for maintaining oral hygiene, but it might not be the most appropriate intervention for a client with stomatitis following radiation therapy. While rinsing can help keep the mouth clean, it might cause discomfort in the presence of stomatitis due to the potential for mechanical irritation.
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