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 D
Explanation
A. Roll the syringe gently to ensure mixture of the insulins: Insulin should be mixed by rolling only the vial of NPH, not the syringe. After drawing both insulins into one syringe, gentle rolling is not typically done with the syringe itself to mix them.
B. Inject into the vastus lateralis: The vastus lateralis is typically used for IM injections. Subcutaneous tissue of the abdomen or thigh is preferred for insulin injections for better absorption.
C. Use a 15° angle for the injection: A 15° angle is used for intradermal injections. Insulin should be given subcutaneously using a 45° or 90° angle depending on needle size and fat thickness.
D. Draw up regular insulin prior to NPH insulin: Regular insulin should always be drawn up first to prevent contamination of the clear insulin with the cloudy NPH insulin, maintaining efficacy and correct dosing.
Correct Answer is C
Explanation
A. “I wear a hat and long sleeves while I am working.”: This suggests protective behavior that reduces the risk of sun exposure, heat-related illnesses, and contact with harmful agricultural chemicals, indicating awareness of occupational safety.
B. “I am currently sharing my home with two roommates.”: Although crowded living conditions can increase transmission risk of communicable diseases, this alone is not immediately indicative of a health hazard without other factors like poor sanitation.
C. “I eat vegetables directly from the field where I work.”: Consuming unwashed produce in the field exposes individuals to pesticide residues, soil contaminants, and pathogens, posing a significant health risk that requires immediate education and intervention.
D. “My home has running water and electricity.”: Access to clean water and electricity supports good hygiene and safe food preparation, which are positive indicators of living conditions that help reduce health risks.
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