A nurse is providing teaching to a parent of a child with celiac disease. Which food choice should the nurse include?

Correct Answer: A

Rationale: The correct answer is A, Rice. In celiac disease, individuals must avoid gluten-containing foods. Rice is a safe option as it is gluten-free. Barley (choice B), Wheat (choice C), and Rye (choice D) all contain gluten and should be avoided in a celiac diet. Therefore, the nurse should emphasize including rice in the child's diet.

Correct Answer: C

Rationale: The correct instruction for a client with left-sided weakness using a cane is to move the left foot forward first. This technique helps improve stability and safety by ensuring weight-bearing on the stronger side while providing support with the cane. Choice A is incorrect because the cane should be held on the stronger side, which is the right side in this case. Choice B is incorrect as the recommended distance to move the cane forward with each step is about 6 inches, not 18 inches. Choice D is incorrect as it is essential to maintain a slight bend in the elbow while using the cane to absorb shock and provide flexibility.

Correct Answer: D

Rationale: In teaching a female client experiencing alcohol withdrawal about chlordiazepoxide, it is crucial for the nurse to include information about the potential risks and considerations related to the medication. Option D, "Notify the provider if pregnancy is desired or suspected," is the correct answer. This is because chlordiazepoxide is a pregnancy category D medication, indicating potential risks to the fetus. It is important for women of childbearing age to notify their provider if pregnancy is desired or suspected to explore safer alternatives. Options A, B, and C are incorrect because they do not pertain to the specific considerations associated with chlordiazepoxide use in a female client experiencing alcohol withdrawal. Option A is inaccurate as chlordiazepoxide typically does not increase blood pressure. Option B is unrelated as breast tenderness is not a common side effect of this medication. Option C is dangerous advice as doubling the dose without healthcare provider guidance can lead to overdose and adverse effects. In an educational context, this question highlights the importance of medication education tailored to the individual client's needs and circumstances. It emphasizes the significance of considering potential risks and side effects specific to certain medications, especially in vulnerable populations such as pregnant women or those with substance use disorders. Educating clients on medication safety and proper communication with healthcare providers is essential in promoting optimal health outcomes.

Correct Answer: D

Rationale: The correct answer is assessing the gag reflex. This is the priority assessment following an EGD procedure to prevent aspiration. Checking the gag reflex helps ensure the client's airway protection. Assessing the level of consciousness is important, but ensuring the client can protect their airway takes precedence. Pain and nausea assessments are also essential but are secondary to maintaining airway patency.

Correct Answer: B

Rationale: The correct action for the nurse to take when finding that the TPN solution is infusing too rapidly is to stop the TPN infusion. This is crucial to prevent fluid overload and ensure the client's safety. Sitting the client upright (Choice A) or turning the client on their left side (Choice C) are not appropriate responses to a rapidly infusing TPN solution and do not address the immediate issue of preventing complications from the rapid infusion. Adding insulin to the TPN infusion (Choice D) is not indicated unless specifically prescribed by the healthcare provider for the client's condition. Therefore, the priority action is to stop the TPN infusion to prevent potential harm.