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    ATI PN Paediatrics Nursing Proctored Exam 2023

    A nurse is reinforcing teaching about food choices with a parent of a child who has celiac disease.Which of the following responses by the parent indicates an understanding of the teaching?

    Explanation & Rationale

    Choice A rationaleChocolate malt often contains barley malt, which contains gluten. For children with celiac disease, gluten can damage the small intestine, leading to malabsorption of nutrients. Therefore, giving a chocolate malt could trigger symptoms like abdominal pain, diarrhea, or growth problems.Choice B rationaleBarley-based breakfast cereal is not appropriate for a child with celiac disease. Barley contains gluten, which must be avoided entirely by those with this condition to prevent damage to the intestinal lining and associated symptoms.Choice C rationaleRye bread is another source of gluten and is inappropriate for children with celiac disease. Consuming rye bread could result in similar adverse reactions as those caused by wheat and barley, such as villous atrophy in the small intestine.Choice D rationaleRice pudding is gluten-free, making it a safe dessert option for a child with celiac disease. Rice is a suitable carbohydrate source that doesn’t contain gluten, thus preventing any harm to the child's intestines or triggering of symptoms.

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