A nurse is teaching about denture care to the partner of a client who is unable to perform oral hygiene. Which of the following points should the nurse include in the teaching?

Choice A reason: 1 slice of bread is equivalent to 1 oz of grains, not protein. Bread is a good source of carbohydrates, fiber, and B vitamins, but it does not provide enough protein for a toddler.

Choice B reason: 1 scrambled egg is equivalent to 1 oz of protein. Egg is a complete protein, meaning it contains all nine essential amino acids that the body cannot make. Egg is also a good source of iron, choline, and vitamin D.

Choice C reason: 1/2 cup peas is equivalent to 1/2 oz of protein and 1/2 cup of vegetables. Peas are an incomplete protein, meaning they lack some essential amino acids. Peas are also a good source of fiber, vitamin C, and folate.

Choice D reason: 2 tbsp peanut butter is equivalent to 2 oz of protein. Peanut butter is an incomplete protein, but it can be combined with bread or crackers to form a complete protein. Peanut butter is also a good source of fat, magnesium, and niacin.

Choice A reason: Dietary restrictions will not eventually allow the intake of gluten to resume. Gluten is a protein found in wheat, barley, rye, and some oats. It causes damage to the small intestine in people with celiac disease. The only treatment for celiac disease is a lifelong gluten-free diet.

Choice B reason: This condition may cause secondary lactose intolerance. Lactose is a sugar found in milk and dairy products. It is broken down by an enzyme called lactase in the small intestine. People with celiac disease may have reduced levels of lactase due to the damage to the small intestine caused by gluten. This can lead to lactose intolerance, which is the inability to digest lactose properly. Symptoms of lactose intolerance include bloating, gas, diarrhea, and abdominal pain after consuming dairy products.

Choice C reason: Nutritional therapy for this condition does not include limiting proteins and calories. People with celiac disease need adequate amounts of proteins and calories to maintain their health and prevent malnutrition. They also need to ensure that they get enough vitamins, minerals, and fiber from gluten-free sources.

Choice D reason: A normal diet cannot resume after a period of remission. Celiac disease is a chronic autoimmune disorder that does not have a cure. Even if the symptoms improve or disappear, the damage to the small intestine can still occur if gluten is consumed. Therefore, a strict gluten-free diet must be followed for life.