A client has recently been diagnosed with celiac disease. Which client statement indicates a need for further instruction?

Celiac disease is an autoimmune enteropathy triggered by the ingestion of gluten proteins found in wheat, barley, and rye. In sensitized individuals, gluten causes T-cell mediated destruction of the intestinal villi, leading to malabsorption. Management relies entirely on strict, lifelong dietary adherence to allow the mucosal lining to regenerate. A. "There is no cure for my disease.": This statement is accurate because celiac disease is a lifelong genetic condition. There is currently no medical or surgical intervention that allows a patient to resume gluten consumption. The disease is managed through lifestyle modification rather than curative treatments. B. "I will need to have surgery in order to repair the damage to my intestine.": This statement is incorrect and indicates a need for further teaching. Intestinal villi regenerate naturally once the inflammatory stimulus (gluten) is removed from the diet. Surgery is not a standard treatment for celiac disease unless complications occur. C. "My children are at a higher risk for developing celiac disease since I have it.": This reflects a correct understanding of the genetic nature of the condition. There is a strong association with specific HLA-DQ2 and HLA-DQ8 genotypes. Family members should be screened if they exhibit symptoms of malabsorption. D. "I will need to eliminate foods containing wheat flour from my diet.": This is a correct understanding of the primary treatment. Wheat contains the protein gliadin, which is highly toxic to the intestinal mucosa of celiac patients. Strict avoidance of all wheat products is necessary for clinical remission.