Question

A client is readmitted with an exacerbation of celiac disease 2 weeks after discharge. Which statement by the client indicates the need for a dietary consult?

a. "I don't understand this; I took the medication the doctor ordered and followed the diet."
b. "I didn't eat anything I shouldn't have; I just ate roast beef on rye bread."
c. "I don't understand why this happened again; I didn't travel out of the country."
d. "I don't like oatmeal, so it matter that I can't have it."

Answer 1

The statement that indicates the need for a dietary consult is option B: "I didn't eat anything I shouldn't have; I just ate roast beef on rye bread." This violates a gluten-free diet and may worsen symptoms of celiac disease.

Step-by-step explanation:

The client's statement that indicates the need for a dietary consult is option B: "I didn't eat anything I shouldn't have; I just ate roast beef on rye bread."

Celiac disease is an autoimmune disease where individuals have an immune response to gluten found in wheat, barley, and rye. Consuming even small amounts of gluten can cause damage to the digestive system of people with celiac disease. Rye bread contains gluten, so choosing to eat roast beef on rye bread would be a violation of a gluten-free diet and may worsen the client's symptoms.