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 B
Explanation
A. Oxygen saturation 88%: Low oxygen saturation indicates hypoxemia, which may be related to the child’s underlying cardiac condition but is not a direct contraindication for administering digoxin. The priority concern with digoxin is its cardiac effect.
B. Heart rate 64/min: Digoxin slows the heart rate, and bradycardia is a key sign of toxicity. In school-age children, the medication should be withheld if the heart rate is below 70/min. A heart rate of 64/min meets this threshold, so withholding the drug is appropriate.
C. Respiratory rate 18/min: A respiratory rate of 18/min is within the normal range for a school-age child (approximately 18–30/min). This finding does not warrant withholding digoxin.
D. Urine output 25 mL/hr: While a low urine output can be a sign of poor renal perfusion, which can be a sign of worsening heart failure, it is not a direct contraindication for administering digoxin.
Correct Answer is B
Explanation
A. "Ask her if she is ready to eat her sandwich for lunch.": This gives the toddler a yes/no choice, which can invite refusal and worsen negativism, rather than redirecting it constructively.
B. "Tell her that she may have a sandwich or soup for lunch.": Offering limited choices allows the toddler to feel a sense of control and independence while still ensuring acceptable options. This approach helps minimize power struggles common with negativism.
C. "Tell her she is having her favorite sandwich for lunch.": This removes the toddler’s sense of autonomy and may trigger resistance since negativism stems from a desire for independence.
D. "Ask her if she would like to have her favorite sandwich for lunch.": This is a yes/no question, which may prompt a refusal instead of cooperation, making it less effective for managing negativism.
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