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?

A. I will obtain the client’s weight every other day. Monitoring weight every other day is insufficient for clients on TPN, as daily weight measurements are needed to closely monitor fluid balance and nutritional status.
B. I will monitor the client’s blood glucose level every 8 hours: Blood glucose monitoring for clients on TPN should occur every 4 to 6 hours due to the high glucose content in TPN, which can cause rapid fluctuations in blood sugar levels.
C. I will increase the rate of the TPN infusion to ensure the correct amount is given: The infusion rate should never be increased without a provider’s order because abrupt changes can lead to serious complications such as hyperglycemia, fluid overload, or electrolyte imbalances.
D. I will hang a new bag of TPN and IV tubing every 24 hours: TPN bags and tubing must be changed every 24 hours to reduce the risk of infection and maintain sterility, reflecting a correct understanding of proper TPN care.

A. "Season foods with salt and pepper.": Spicy and seasoned foods can irritate the gastric mucosa, potentially worsening gastritis symptoms, so this advice is not appropriate.
B. "Eat small frequent meals daily.": Smaller, more frequent meals help reduce gastric acid secretion and minimize irritation of the stomach lining, which can alleviate symptoms of gastritis and promote healing.
C. "Use ibuprofen as needed for discomfort.": Nonsteroidal anti-inflammatory drugs like ibuprofen can exacerbate gastritis by irritating the stomach lining and increasing the risk of bleeding, so they should be avoided.
D. "Take a Vitamin E supplement daily.": There is no clear evidence supporting the use of vitamin E supplements for gastritis management, and supplementation is not a standard recommendation in this condition.