A nurse is providing teaching to a parent of a 5-year-old client diagnosed with celiac disease. The nurse should include which of the following food choices in the teaching plan?

Wheat

Rye

Barley

Rice

Answer and Explanation

The Correct Answer is D

A.   Wheat contains gluten, which should be avoided in individuals with celiac disease. Gluten can cause an immune response that damages the small intestine in these patients.
B.   Rye also contains gluten and is not appropriate for a child with celiac disease. Gluten-free foods are necessary to prevent symptoms and intestinal damage.

C.   Barley contains gluten, which makes it unsuitable for children with celiac disease. It should be avoided in the diet.
D.   Rice is naturally gluten-free and is an appropriate food choice for a child with celiac disease. It can be included in the diet without causing an immune response. Other gluten-free grains such as corn, quinoa, and oats (if certified gluten-free) can also be suitable alternatives.

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Correct Answer is C

Explanation

A. Vibration is typically performed during exhalation, not inspiration. This helps to loosen secretions.
B. Percussion should not last 15 minutes per lung segment; it is generally performed for shorter periods to avoid discomfort or injury.
C. Administering albuterol prior to CPT helps open the airways, making it easier for the child to expectorate secretions. This is a standard practice for improving the effectiveness of CPT.
D. It is not recommended to perform CPT immediately after a meal, as it may increase the risk of aspiration or discomfort. It is usually advised to wait at least 30 minutes after eating.

A. Take the child to the provider's office B. Give the child 60 mL of syrup of ipecac C. Contact poison control D. Provide a high carbohydrate meal to the child

Correct Answer is C

Explanation

A. While taking the child to the provider’s office may be necessary, contacting poison control is the most
immediate and appropriate action when a child ingests a toxic substance.
B. Syrup of ipecac is no longer recommended for use in poisoning cases due to potential complications and ineffectiveness.
C. Poison control should be contacted immediately as they can provide specific instructions on how to manage the situation based on the substance ingested.
D. A high carbohydrate meal is not an appropriate intervention in the case of poisoning, and it may delay treatment or worsen symptoms.

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A nurse is providing teaching to a parent of a 5-year-old client diagnosed with celiac disease. The nurse should include which of the following food choices in the teaching plan?

Nursing Test Bank

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