A nurse is providing dietary teaching to a client newly diagnosed with celiac disease. Which of the following information should the nurse include in the teaching?
Dietary restrictions will eventually allow the intake of gluten to resume.
This condition may cause secondary lactose intolerance.
Nutritional therapy for this condition includes limiting proteins and calories.
A normal diet can resume after a period of remission.
The Correct Answer is B
Choice A reason: Dietary restrictions will not eventually allow the intake of gluten to resume. Gluten is a protein found in wheat, barley, rye, and some oats. It causes damage to the small intestine in people with celiac disease. The only treatment for celiac disease is a lifelong gluten-free diet.
Choice B reason: This condition may cause secondary lactose intolerance. Lactose is a sugar found in milk and dairy products. It is broken down by an enzyme called lactase in the small intestine. People with celiac disease may have reduced levels of lactase due to the damage to the small intestine caused by gluten. This can lead to lactose intolerance, which is the inability to digest lactose properly. Symptoms of lactose intolerance include bloating, gas, diarrhea, and abdominal pain after consuming dairy products.
Choice C reason: Nutritional therapy for this condition does not include limiting proteins and calories. People with celiac disease need adequate amounts of proteins and calories to maintain their health and prevent malnutrition. They also need to ensure that they get enough vitamins, minerals, and fiber from gluten-free sources.
Choice D reason: A normal diet cannot resume after a period of remission. Celiac disease is a chronic autoimmune disorder that does not have a cure. Even if the symptoms improve or disappear, the damage to the small intestine can still occur if gluten is consumed. Therefore, a strict gluten-free diet must be followed for life.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Skim milk is not an appropriate snack choice for a 9-month-old infant. Infants under 12 months of age should not consume cow's milk, as it can cause iron deficiency, gastrointestinal bleeding, and allergic reactions. Infants should be breastfed or formula-fed until they are 12 months old.
Choice B reason: Unsalted popcorn is not an appropriate snack choice for a 9-month-old infant. Popcorn is a choking hazard for infants, as it can easily get stuck in their throat or lungs. Infants should not be given any hard, round, or sticky foods that can cause choking.
Choice C reason: Raw carrots are not an appropriate snack choice for a 9-month-old infant. Raw carrots are also a choking hazard for infants, as they are hard and difficult to chew and swallow. Infants should be given soft, cooked, or pureed vegetables that can be easily mashed with their gums.
Choice D reason: Graham crackers are an appropriate snack choice for a 9-month-old infant. Graham crackers are soft, easy to chew and swallow, and provide carbohydrates and energy. They can also help infants practice their self-feeding skills and finger coordination.
Correct Answer is B
Explanation
Choice A reason: Creatinine 1.3 mg/dL is slightly elevated, but it does not indicate fluid volume excess. Creatinine is a waste product of muscle metabolism that is filtered by the kidneys. High creatinine levels can indicate kidney damage or impaired renal function.
Choice B reason: BNP 300 pg/mL is high and indicates fluid volume excess. BNP stands for brain natriuretic peptide, which is a hormone released by the heart when it is stretched by increased blood volume or pressure. High BNP levels can indicate heart failure or fluid overload.
Choice C reason: Potassium 3.5 mEq/L is within the normal range (3.5-5.0), and it does not indicate fluid volume excess. Potassium is an electrolyte that helps regulate nerve and muscle function, especially the heart. Low or high potassium levels can cause cardiac arrhythmias, muscle weakness, or paralysis.
Choice D reason: Sodium 140 mEq/L is within the normal range (135-145), and it does not indicate fluid volume excess. Sodium is an electrolyte that helps maintain fluid balance, blood pressure, and nerve impulses. Low or high sodium levels can cause confusion, seizures, or coma.
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