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The nurse is caring for a 14-year-old client diagnosed with celiac disease. The nurse knows that the client understands the diet instructions when they request which of the following meals?

A.

Low-fat yogurt with blueberries and granola

B.

Cheese, banana slices, rice cakes, and whole milk

C.

Eggs, bacon, rye toast, and lactose-free milk

D.

Egg, cheese, and sausage wrapped in a flour tortilla

Answer and Explanation

The Correct Answer is B

Rationale:

 

A. Granola often contains gluten, so this meal would not be suitable for someone with celiac disease.

 

B. Cheese, banana slices, rice cakes, and whole milk are gluten-free and appropriate for a child with celiac disease.

 

C. Rye toast contains gluten, which is contraindicated for someone with celiac disease.

 

D. Flour tortillas generally contain gluten, so this meal is not appropriate for someone with celiac disease.


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View Related questions

Correct Answer is D

Explanation

Rationale:
A. Dry mouth is expected postoperatively, especially if the child is not drinking adequate fluids, but it is not a sign of a complication.

B. Mild to moderate pain is expected after a tonsillectomy and should be managed with analgesics.

C. Dried flecks of blood in oral secretions can be normal immediately after surgery, but active bleeding would be concerning.

D. Frequent swallowing is a sign of possible postoperative bleeding, which is a serious complication that requires immediate evaluation and intervention.

Correct Answer is C

Explanation

Rationale:

A. Neurologic function is not typically affected by nephrotic syndrome, so improvement in this area is not an indicator of recovery.

B. Weight gain might indicate fluid retention rather than recovery in nephrotic syndrome.

C. The absence of protein in the urine indicates that the kidneys are functioning properly and that the syndrome is resolving. Proteinuria is a hallmark of nephrotic syndrome, so its resolution is a key sign of recovery.

D. A negative gram stain is more relevant to infections, not nephrotic syndrome.

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