The nurse is discussing dietary choices with a client who is newly diagnosed with celiac disease. Which menu choice by the client indicates a need for further teaching?
Wild rice.
Oatmeal.
Corn chips.
Potatoes.
The Correct Answer is B
Choice A rationale:
Wild rice is naturally gluten-free. It is not a grain, but rather a semi-aquatic grass seed. It is safe for individuals with celiac disease to consume.
Wild rice is a good source of nutrients. It is high in fiber, protein, and antioxidants, and it contains a variety of vitamins and minerals, including manganese, phosphorus, magnesium, and zinc. These nutrients can help to support overall health and well-being.
Wild rice can be a versatile ingredient in many dishes. It can be used in salads, soups, stews, pilafs, and even desserts.
Choice B rationale:
Oatmeal is not gluten-free. It is made from oats, which are a type of cereal grain that contains gluten. Individuals with celiac disease must avoid gluten, as it can trigger an autoimmune reaction that damages the small intestine.
Even small amounts of gluten can cause harm. Consuming even a small amount of oatmeal can cause symptoms such as abdominal pain, bloating, diarrhea, fatigue, and headache in individuals with celiac disease.
Long-term damage can occur. If individuals with celiac disease continue to consume gluten, it can lead to long-term health problems, such as malnutrition, osteoporosis, and infertility.
Choice C rationale:
Corn chips are typically gluten-free. However, it is important to check the label to be sure, as some brands may contain gluten- containing ingredients, such as wheat flour or barley malt.
Reading labels is essential. Individuals with celiac disease should always read food labels carefully to ensure that products are gluten-free.
Choice D rationale:
Potatoes are naturally gluten-free. They are a safe and healthy food choice for individuals with celiac disease.
Potatoes are a versatile and nutritious food. They are a good source of carbohydrates, fiber, potassium, vitamin C, and other nutrients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale for Choice A: Dysrhythmia
There is no information in the question stem to suggest that the patient is experiencing a dysrhythmia.
Dysrhythmias are abnormal heart rhythms that can be caused by a variety of factors, including heart disease, electrolyte imbalances, and medications.
While it is possible that the patient could develop a dysrhythmia as a complication of pneumonia, there is no evidence to support this in the given information.
Additionally, enalapril, which the patient is taking for hypertension, is not typically associated with an increased risk of dysrhythmias.
Rationale for Choice B: Toxicity
There is no information in the question stem to suggest that the patient is experiencing toxicity.
Toxicity can be caused by a variety of substances, including medications, drugs, and environmental toxins.
While it is possible that the patient could develop toxicity as a complication of pneumonia, there is no evidence to support this in the given information.
Additionally, the patient's medication regimen of enalapril and a multivitamin is not typically associated with an increased risk of toxicity.
Rationale for Choice C: Anemia
There is no information in the question stem to suggest that the patient is anemic.
Anemia is a condition in which there is a decreased number of red blood cells or hemoglobin in the blood.
While it is possible that the patient could develop anemia as a complication of pneumonia, there is no evidence to support this in the given information.
Additionally, the patient's surgical history of adenoid removal and a fractured tibia is not typically associated with an increased risk of anemia.
Rationale for Choice D: Pneumonia
The patient is a 51-year-old male with a diagnosis of pneumonia.
Pneumonia is an infection of the lungs that can be caused by bacteria, viruses, or fungi.
The patient's symptoms, such as cough, fever, and difficulty breathing, are all consistent with a diagnosis of pneumonia.
Additionally, the patient's medical history of hypertension does not rule out pneumonia, and in fact, some studies have shown that hypertension may be a risk factor for developing pneumonia.
Therefore, pneumonia is the most likely condition that the patient has based on the information provided.
Correct Answer is ["B","C","E","F"]
Explanation
B. Place patient on oxygen 2 to 4 liters and maintain oxygen saturation at or above 95%.
Rationale:
Hypoxemia: Patients who have undergone cholecystectomy are at risk for developing hypoxemia due to various factors, including:
Atelectasis: Collapsed lung tissue can impair gas exchange, leading to low oxygen levels in the blood.
Pneumonia: A potential post-operative complication that can cause inflammation and fluid buildup in the lungs, hindering oxygen uptake.
Pain: Post-surgical pain can inhibit deep breathing and coughing, which are essential for maintaining adequate lung function.
Oxygen Therapy: Supplementing oxygen helps to increase oxygen saturation and improve overall tissue oxygenation, reducing the strain on the heart and other organs.
Oxygen Saturation Goal: Maintaining oxygen saturation at or above 95% ensures that the patient's tissues are receiving sufficient oxygen to meet their metabolic needs.
C. Stat 2 views chest x-ray.
Rationale:
Chest X-ray: A valuable diagnostic tool that can visualize the lungs and surrounding structures, aiding in the assessment of: Atelectasis: Appears as areas of increased density on the x-ray, indicating collapsed lung tissue.
Pneumonia: May present as consolidation (solid white areas) or infiltrates (patchy areas of increased density) on the x-ray. Pleural effusion: Fluid accumulation in the pleural space, which can impair lung expansion and gas exchange.
Pneumothorax: Presence of air in the pleural space, which can cause lung collapse and respiratory distress.
Early Detection: Prompt identification of respiratory complications through chest x-ray allows for timely interventions and prevents further deterioration of the patient's condition.
E. Complete blood count (CBC), basic metabolic panel (BMP), and blood cultures.
Rationale:
CBC: Assesses for signs of infection or inflammation, including:
Elevated white blood cell count (leukocytosis) Increased neutrophils (neutrophilia)
Anemia (low red blood cell count)
BMP: Evaluates electrolyte and kidney function, which can be affected by infections and post-operative complications.
Blood Cultures: Determines the presence of bacteria in the bloodstream, allowing for identification of the causative organism and guiding appropriate antibiotic therapy.
F. Start the patient on antibiotic therapy.
Rationale:
Infection Risk: The patient's history of cholangitis and recent surgery increase the risk of infection. Prophylactic Antibiotics: Often administered after cholecystectomy to prevent post-operative infections.
Early Intervention: Prompt initiation of antibiotic therapy is crucial in managing infections and preventing serious complications such as sepsis.
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