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