A nurse is teaching a group of clients who are at risk for heart disease about decreasing saturated fats in their diet. Which of the following fats should the nurse recommend the clients use when cooking?

Choice A rationale:
Crohn's disease is not commonly associated with obesity. Crohn's disease is a chronic inflammatory bowel disease that can lead to weight loss due to malabsorption and other gastrointestinal symptoms.
Choice B rationale:
Peptic ulcer disease is not directly linked to obesity. Peptic ulcers are primarily caused by Helicobacter pylori infection or the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
Choice C rationale:
Gastroesophageal reflux disease (GERD) is commonly associated with obesity. Excess weight, especially around the abdominal area, can contribute to increased pressure on the stomach and lower esophageal sphincter, leading to the backflow of stomach acid into the esophagus and causing symptoms of GERD such as heartburn and regurgitation.
Choice D rationale:
Celiac disease is not typically associated with obesity. Celiac disease is an autoimmune disorder triggered by the ingestion of gluten, a protein found in wheat, barley, and rye. Individuals with celiac disease often experience weight loss and malabsorption due to intestinal damage.

Choice Arationale:
Rye toast with herbal tea is also not appropriate for someone with celiac disease. Rye bread contains gluten, and even though herbal tea is gluten-free, the combination with rye toast would still be harmful to the client.

Choice Brationale:
Graham crackers with peanut butter are not suitable for a client with celiac disease. Graham crackers are typically made from wheat flour, which contains gluten, a protein that individuals with celiac disease must avoid to prevent intestinal damage.

Choice C rationale:
The correct choice is rice cereal with sliced bananas. Rice cereal is naturally gluten-free and therefore safe for individuals with celiac disease. Sliced bananas can add flavor and nutrients to the meal without causing any harm to the client's condition.
Choice D rationale:
Poached eggs with wheat bagel is an unsuitable option. Wheat bagels contain gluten, which is harmful to individuals with celiac disease. Even though poached eggs are gluten-free, the risk of cross-contamination from the wheat bagel would be too high for this client.