Medical Surgical Celiac disease #1

Question

The nurse provides education to a client diagnosed with celiac disease. Which client statement indicates a need for additional teaching regarding management of this disease process?

Answers

  1. “I can eat bananas since most fruit is gluten free.”
    • Rationale:

      This answer is not correct because bananas are an example of a gluten-free fruit; therefore, the client’s statement indicates a correct understanding of the information presented by the nurse pertaining to the management of celiac disease.

  2. “I will read the label of my toothpaste to see if it is gluten free.”
    • Rationale:

      This answer is not correct because products that are not foods can also contain gluten. Art supplies (e.g., modeling clay), communion wafers, cosmetics (e.g., lipsticks) and toothpastes may contain gluten; therefore, the client’s statement indicates a correct understanding of the information presented by the nurse regarding the management of celiac disease.

  3. “I can eat sour cream without worrying since it is a gluten-free food.”
    • Rationale:

      This answer is correct because sour cream often contains modified food starch made from wheat which is contraindicated for the client who is diagnosed with celiac disease; therefore, the client’s statement indicates a need for the nurse to provide additional teaching.

  4. “I will read the label for seasonings used for cooking to ensure all are gluten free.”
    • Rationale:

      This answer is not correct because the client’s statement indicates a correct understanding of the information presented by the nurse regarding the management of celiac disease as seasonings may contain hidden sources of gluten; therefore, it is important to read the label prior to use.

Overview

Celiac disease is a disorder of malabsorption that is caused by an autoimmune response to consumption of products that contain the protein gluten. Clients must eat a gluten-free diet to prevent gastrointestinal problems.

Explanation

Learning Outcomes

The most common gastrointestinal (GI) clinical manifestations of celiac disease include abdominal distention, pain, flatulence, diarrhea, steatorrhea, and weight loss. Celiac disease is a chronic, incurable, lifelong disease. There are no medications that induce remission; the treatment is to refrain from exposure to gluten in foods (e.g., barley, brewer’s yeast, dextrin, grains, rye, and wheat) and other products (e.g., seasonings, toothpaste). Therefore, the client statement that indicates a need for additional teaching would be: “I can eat sour cream without worrying since it is a gluten-free food.” Sour cream is not a gluten-free food.

Test Taking Tip

Consider each client statement as true or false regarding the management of celiac disease. The false statement is the correct choice for this clinical scenario.

Video Rationale