Editing Nutrition – RN Practice Questions (section)

==Question 13==
A client with newly diagnosed celiac disease is selecting foods from a menu. Which selection indicates that teaching has been effective?
# Cream of wheat cereal with a slice of rye toast
# Grilled chicken breast with rice and steamed carrots
# Barley soup with saltine crackers
# Breaded fish fillet with a whole wheat roll

'''Answer:''' 2. Grilled chicken breast with rice and steamed carrots.

''Rationale:'' Celiac disease requires lifelong strict elimination of gluten, which is found in wheat, rye, and barley. Plain chicken, rice, and vegetables contain no gluten. Option 1 contains wheat (cream of wheat) and rye. Option 3 contains barley and wheat-based crackers. Option 4 contains wheat in both the breading and the roll. The nurse should also teach about hidden gluten in sauces, soy sauce, malt, and processed foods, and about cross-contamination from shared toasters, fryers, and cutting boards.