A nurse is providing education to a 12-year-old child who has been newly diagnosed with celiac disease. Which of the following statements by the client indicates a need for further teaching?

Rationale: A. "I need to check food labels for hidden sources of gluten, like barley and rye" is correct and shows appropriate understanding. Clients with celiac disease must avoid gluten-containing grains such as wheat, barley, rye, and their derivatives to prevent intestinal damage and symptoms. B. "I have to check labels for sugar content" is incorrect and indicates a need for further teaching. Sugar content is not relevant to managing celiac disease. The primary focus should be on identifying and avoiding gluten-containing ingredients, not sugar levels. While a balanced diet is important, checking sugar is not a key part of celiac education. C. "I can eat any fruits or vegetables that I want to" is correct because all fresh fruits and vegetables are naturally gluten-free, making them safe for someone with celiac disease. This demonstrates accurate understanding of safe food choices. D. "I need to avoid foods like bread, pasta, and cereal" is correct because these foods typically contain gluten unless labeled gluten-free. Avoidance of gluten-containing products is a fundamental part of celiac disease management.