The nurse recognizes that the client diagnosed with celiac disease needs further education regarding the disease process when the client states:
1. "I treat myself to a ham and cheese on rye with a light beer once a week.".
2. "It's really difficult to maintain my gluten-free lifestyle.".
3. "The only way to truly diagnose this disease it through a biopsy of my small intestine.".
4. "The trouble I'm having with the enamel on my teeth is a result of this disease.".
"I treat myself to a ham and cheese on rye with a light beer once a week.".
Rationale: The client with celiac disease is incapable of appropriately reacting to ingested gluten and so is placed on a gluten-free diet. Gluten is found in wheat, barley, and rye. Many foods do contain gluten, and so it is difficult to maintain such a diet. A biopsy of the small intestine is the gold standard for diagnosing celiac disease, and dental enamel hypoplasia is a sign often seen in clients with this disease.
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