A nurse is providing teaching to the caregivers of a preschooler who has a new diagnosis of celiac disease. Which of the following foods should the nurse recommend?
Grilled hot dog with French fries
Oatmeal cookie with raisins
Baked Sweet potato with cinnamon
Hazelnut butter on wheat toast
The Correct Answer is C
A. Grilled hot dog with French fries: Hot dogs may contain fillers with gluten, and cross-contamination in fries is common if shared fryers are used, making this choice unsafe.
B. Oatmeal cookie with raisins: Unless the oats are certified gluten-free, they may be contaminated with gluten during processing, posing a risk for children with celiac disease.
C. Baked sweet potato with cinnamon: Sweet potatoes are naturally gluten-free, and cinnamon is safe as well. This option provides a nutritious and safe food for a child with celiac disease.
D. Hazelnut butter on wheat toast: Wheat toast contains gluten and should be strictly avoided in individuals with celiac disease, even if the topping is gluten-free.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Initiate a low-protein diet for the child: A low-protein diet is not indicated for neutropenia and may impair healing and immune function. Adequate nutrition, including sufficient protein, supports recovery and immune response.
B. Screen the child's visitors for active infections: Neutropenia significantly increases the risk of infection due to low white blood cell counts, so screening visitors for active infections helps reduce the chance of exposing the child to infectious agents.
C. Monitor the child for indications of active bleeding: While bleeding risk is important in leukemia, neutropenia specifically refers to decreased neutrophils affecting infection risk rather than platelets, so bleeding monitoring is important but not the primary focus here.
D. Prepare the child for a platelet transfusion: Platelet transfusions are used to address thrombocytopenia, not neutropenia. Transfusions may be needed in leukemia but are not directly related to neutropenia care.
Correct Answer is B
Explanation
A. Client was nauseated immediately after surgery: While postoperative nausea is important to document, it is an event that occurred in the past and may not reflect the client’s current status 36 hours after surgery.
B. Client’s pain relieved by position change: This information is critical as it reflects the current effectiveness of nonpharmacologic pain management strategies and guides ongoing care for comfort.
C. Checked for peripheral IV blood return prior to antibiotic: This is a routine nursing task that was completed. While important for safe medication administration, it's a procedural detail of a completed task and not usually included in a concise shift report.
D. Client provided with breakfast tray at 0800: Although documenting nutrition is important, the exact timing of meal delivery is less significant than clinical status information during shift handoff.
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