A two-year-old child is admitted to the hospital for chronic diarrhea. After investigation, the child is diagnosed with celiac disease. The nurse teaches the family to avoid all glutens and to carefully read all labels
In evaluating the parents' understanding, the nurse allows the family to complete the child's menus. The nurse recognizes the family understands glutens when they choose which foods? Standard Text: Select all that apply. 1. Milk
2. Mashed potatoes with gravy
3. Apple sauce
4. Corn in cream sauce
5. Rice cakes
1,3
Rationale 1: Milk is a protein and contains no glutens.
Rationale 2: Gravy is made with flour. Unless the parents know the source of the flour, gravy should be avoided. Most types of gravy contain wheat.
Rationale 3: All fruits are gluten free.
Rationale 4: Corn is acceptable. Cream sauce will probably have a vegetable protein as a filler.
Rationale 5: There are some brands of rice cakes that are gluten-free, but without reading the label, these should be avoided.
Global Rationale:
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A term infant is 22 hours old, has a total serum bilirubin level of 13 mg/dL, and has visible jaundice. What action by the nurse is most appropriate?
A. Assure the parents that this is temporary. B. Document the findings in the infant's chart. C. Have the mother switch to bottle feeding. D. Review the chart for history of a traumatic birth.
Which information will the nurse collect to assist in the classification of a burn injury as minor, moderate, or major? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Location of the burns on the body 2. The history of the event and location where the injury occurred 3. Any concurrent injuries 4. The time the injury occurred 5. The causative agent
The primary cause of vulnerability is:
1. Race 2. Age 3. Poverty 4. Illness
The educator is reviewing the objective findings for binge eating disorder with the nurses. Which statement made by a nurse indicates further teaching is required?
A. "A client with a binge eating disorder will eat faster than normal." B. "A client with a binge eating disorder will eat alone out of embarrassment." C. "A client with a binge eating disorder experiences marked distress." D. "A client with a binge eating disorder may abuse laxatives."