The school nurse creates a cafeteria menu for a newly enrolled child with celiac disease. Which lunches would be appropriate for this child? Select all that apply.

Question

Quizplus · Accepted Answer

Celiac disease (celiac sprue) is an autoimmune disorder in which the body is unable to process gluten, a protein found in most grains. Gluten consumption will damage the villi of the small intestine; this results in malabsorption of fats (steatorrhea, foul-smelling stools) and other nutrients, which can lead to malnutrition and failure to thrive. The child will need to adhere to a gluten-free diet for life. Rice, corn, and potatoes are gluten free and are allowed in the diet (Options B, C, and E). A child with celiac disease cannot eat barley, rye, oats, or wheat (mnemonic - BROW). (Option A) A child with celiac disease cannot consume barley or French bread as both contain gluten. (Option D) Peanut butter and jelly on rice cakes are permitted but not the oatmeal cookie. Educational objective: Celiac disease is an autoimmune disorder in which an individual cannot tolerate gluten, a protein found in barley, rye, oats, and wheat (BROW). Rice, corn, and potatoes are allowed in the diet and can be used as grain substitutes. Affected individuals must adhere to a gluten-free diet for life.

The School Nurse Creates a Cafeteria Menu for a Newly