A nurse is caring for a preschooler who has a new diagnosis of celiac disease. Which of the following findings should the nurse expect?
Pale, oily stools
Redcurrant, jelly-like stools
Increased hemoglobin level
Hematemesis
The Correct Answer is A
A. Pale, oily stools: Celiac disease causes malabsorption due to an immune response to gluten, leading to steatorrhea. The stools are typically pale, foul-smelling, and oily because of impaired fat absorption.
B. Redcurrant, jelly-like stools: This type of stool is characteristic of intussusception, a condition where part of the intestine telescopes into itself, causing bleeding and mucus, not celiac disease.
C. Increased hemoglobin level: Children with celiac disease often experience iron deficiency anemia due to malabsorption, which lowers hemoglobin levels. An increase in hemoglobin would not be expected.
D. Hematemesis: Vomiting blood is not a typical finding in celiac disease. It is more commonly associated with upper gastrointestinal bleeding from ulcers or esophageal varices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Ensure that the child sleeps in an air-conditioned room: While a cool and comfortable environment may reduce stress and promote rest, air conditioning alone does not address the management of heart failure. It is supportive but not a priority nursing intervention.
B. Avoid giving the child live virus vaccines: Live virus vaccines are typically avoided in immunocompromised clients or those on immunosuppressive therapy, not specifically for stable pediatric heart failure.
C. Weigh the child every other day: Children with heart failure are at risk for fluid retention, and daily weights provide the accurate and timely assessment of fluid status. Weighing every other day could delay the identification of fluid overload and compromise early intervention.
D. Consolidate activities to promote the child's rest: Children with heart failure often experience fatigue due to decreased cardiac output. Organizing care to allow longer rest periods helps reduce cardiac workload and conserves energy.
Correct Answer is D
Explanation
A. Desquamation: Skin peeling or desquamation is an acute side effect of radiation therapy, typically appearing during or shortly after treatment, not years later.
B. Nausea: Nausea is also an acute effect that commonly occurs during radiation therapy, especially when the gastrointestinal tract or brain is involved. It is not considered a late effect years after treatment.
C. Mucosal ulceration: Ulceration of the mucous membranes is an early complication related to radiation affecting rapidly dividing cells. It resolves after treatment and is not a late manifestation.
D. Short stature: Radiation therapy in young children can damage growth plates and affect hormone production, leading to growth delays and short stature. This is a recognized late adverse effect seen years after treatment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.