# The nurse teaches a client with newly diagnosed celiac disease about preventing gluten exposure at home. Which statement shows correct understanding?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=498861&lang=en  
> language: en  
> subject: Adverse Effects/Contraindications/Interactions  
> category: BCC

## Question

The nurse teaches a client with newly diagnosed celiac disease about preventing gluten exposure at home. Which statement shows correct understanding?

## Option

1. I can eat barley and rye products when I avoid breads and cereals made with wheat
2. I will select foods by how I feel after eating each serving
3. I can share a toaster if I brush away the visible crumbs first
4. I will use a separate toaster and protect gluten-free foods from shared crumbs **✔ Correct answer**

**Correct answer: 4**

## Explanation

Celiac disease requires avoidance of wheat, barley, and rye as well as gluten cross-contact. A separate toaster and protected food-preparation area reduce exposure to crumbs that can trigger intestinal immune injury.

## In-depth explanation

Quick answer
Separate crumb-producing equipment and protect gluten-free food from cross-contact.

Why this is correct
Even small amounts of gluten from shared surfaces or appliances can expose a person with celiac disease. Dedicated or thoroughly protected equipment helps keep gluten-free food from contacting wheat, barley, or rye residue.

Easy analogy or mental picture
Gluten cross-contact is like a drop of dye spreading into clear water; a small transfer can change the whole serving. The analogy emphasizes prevention but does not quantify an individual's exposure or reaction.

Memory hook
Celiac safety means avoid wheat, barley, rye, and shared crumbs.

NCLEX decision rule
For celiac teaching, assess both ingredient selection and preparation practices. Symptom absence does not prove safety, and visible crumb removal may not prevent cross-contact.

Why the other choices are wrong
Barley contains gluten. Symptoms are an unreliable guide to mucosal injury, and brushing a shared toaster does not reliably remove gluten-containing residue.References

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]Eating, Diet, and Nutrition for Celiac DiseaseNational Institute of Diabetes and Digestive and Kidney Diseases

## Related questions

- [A nurse is reviewing the morning lab results for an adult client receiving warfarin for at…](https://mymerci.kr/pages/nclex_q.php?qn_id=360515&lang=en)
- [A client is admitted to the emergency department after ingesting an unknown amount of acet…](https://mymerci.kr/pages/nclex_q.php?qn_id=362720&lang=en)
- [A client with chronic heart failure is prescribed metoprolol 25 mg orally twice daily. Bef…](https://mymerci.kr/pages/nclex_q.php?qn_id=362756&lang=en)
- [A 28-year-old client with type 1 diabetes receives regular insulin 6 units and NPH insulin…](https://mymerci.kr/pages/nclex_q.php?qn_id=362792&lang=en)
- [A client receives IV vancomycin 1 g every 12 hours for MRSA bacteremia. Before the next do…](https://mymerci.kr/pages/nclex_q.php?qn_id=362833&lang=en)
- [A client with bipolar disorder has been taking lithium carbonate 600 mg orally three times…](https://mymerci.kr/pages/nclex_q.php?qn_id=362894&lang=en)
- [An 80-year-old male with heart failure is prescribed digoxin 0.125 mg daily. During mornin…](https://mymerci.kr/pages/nclex_q.php?qn_id=372686&lang=en)
- [A 38-year-old female with rheumatoid arthritis is being discharged with a new prescription…](https://mymerci.kr/pages/nclex_q.php?qn_id=372687&lang=en)

## Read in another language

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=498861&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=498861&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=498861&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=498861&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=498861&lang=vi)

---

More free questions: [NCLEX-RN Practice](https://mymerci.kr/pages/nclex_bank.php?lang=en)

_For study reference only. Always follow current clinical guidelines and your institution’s protocols._