The parents of a child diagnosed with celiac disease ask the nurse what types of food they can offer their child. Which of the following would the nurse include in the teaching plan?

Choice A reason: Corn tortillas are naturally gluten-free, making them a safe option for children with celiac disease. Beef fajitas, when prepared without gluten-containing marinades or additives, are also appropriate. This combination avoids wheat, rye, and barley, which are harmful to individuals with celiac disease due to the autoimmune reaction triggered by gluten. Choice B reason: Rye bread contains gluten and is contraindicated in celiac disease. Even small amounts of gluten can damage the intestinal lining and cause symptoms such as diarrhea, abdominal pain, and malabsorption. A turkey sandwich should be served on gluten-free bread instead. Choice C reason: Barley is a gluten-containing grain and must be avoided in celiac disease. Vegetable beef soup may be safe if prepared without barley or gluten-containing thickeners, but the inclusion of barley makes this option inappropriate. Choice D reason: Biscuits are typically made with wheat flour, and cream gravy often contains flour as a thickening agent. Both components are likely to contain gluten and should be excluded from the diet of a child with celiac disease.