The nurse is assisting a child with celiac disease to select ...

[JGIBBSON]

The nurse is assisting a child with celiac disease to select foods from a menu. What foods should the nurse suggest?
 
  a. Hamburger on a bun
  b. Spaghetti with meat sauce
  c. Corn on the cob with butter
  d. Peanut butter and crackers

Question 2

A health care provider prescribes feedings of 1 to 2 oz Pedialyte every 3 hours and to advance to 1/2 strength Similac with iron as tolerated postoperatively for an infant who had a pyloromyotomy.
 
  The nurse should decide to advance the feeding if which occurs?
  a. The infant's IV line has infiltrated.
  b. The infant has not voided since surgery.
  c. The infant's mother states the infant is tolerating the feeding okay.
  d. The infant is taking the Pedialyte without vomiting or distention.

[taylorsonier]

Answer to Question 1

ANS: C
Treatment of celiac disease consists primarily of dietary management. Although a gluten-free diet is prescribed, it is difficult to remove every source of this protein. Some patients are able to tolerate restricted amounts of gluten. Because gluten occurs mainly in the grains of wheat and rye but also in smaller quantities in barley and oats, these foods are eliminated. Corn, rice, and millet are substitute grain foods. Corn on the cob with butter would be gluten free.

Answer to Question 2

ANS: D
After a pyloromyotomy, feedings are usually instituted within 12 to 24 hours, beginning with clear liquids. They are offered in small quantities at frequent intervals. Supervision of feedings is an important part of postoperative care. The feedings are advanced only if the infant is taking the clear liquids without vomiting or distention. Feedings would not be advanced if the infant has not voided, the IV line becomes infiltrated, or the mother states the infant is tolerating the feedings.