Health Promotion and Maintenance
63. A school nurse advises the dietary staff that a special lunch tray must be created for a student who has celiac disease. What recommendation should the nurse provide to the dietary staff?
. Make sure the student has a whole-grain bread roll each day.
. The child may have cake if the staff is celebrating someone's birthday.
. The child's pizza should be topped with a variety of vegetables.
Test-Taking Tip
Recall that any food item made with wheat flour is unacceptable for a child with celiac disease. Choose the foods that do not contain flour.
Content Area: Child Health, Gastrointestinal; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Basic Care and Comfort/Nutrition and Oral Hydration
Health Promotion and Maintenance
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Answer 1 is incorrect because whole grains contain gluten. Answer 2 is incorrect because cake is made with wheat flour, which contains gluten. Answer 3 is incorrect because pizza dough is made with wheat flour, which contains gluten. Answer 4 is correct because beans and rice are acceptable foods for a child with celiac disease, who requires a gluten-free diet.