A pediatric nurse is teaching the family of a child with celiac disease about necessary dietary modifications to manage the disease. Which information does the nurse include in the teaching session? (Select all that apply.)
A.
Eliminate all sources of corn.
B.
High-calorie, high-protein foods are preferred.
C.
Lactose restriction may be needed.
D.
Rye and wheat must be avoided.
E.
Watch for hidden sources of gluten.
ANS: B, C, D, E
The treatment of celiac disease is a gluten-free diet. Because gluten is found mainly in wheat and rye, and to a smaller extent in barley and oat products, it is recommended that they be eliminated from the diet. Corn, rice, and millet are grains that are allowed in the diet. General dietary guidelines include high-protein, high-calorie foods. In severe cases, temporary lactose restrictions may be needed. Gluten is often hidden in food products.
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