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 C
Explanation
A. "I will have my baby sleep next to me in bed during the night.": Bed-sharing increases the risk of suffocation and SUIDS. Infants should sleep in the same room as parents but on a separate, firm sleep surface such as a crib or bassinet.
B. "I will move my baby's stuffed animal to the corner of their crib while they sleep.": Stuffed animals, pillows, and blankets should not be in the crib as they pose a suffocation risk. The crib should be free of soft items to reduce the chance of airway obstruction.
C. "I will dress my baby in lightweight clothing to sleep.": Overheating is a risk factor for SUIDS. Dressing the infant in lightweight clothing or a sleep sack without additional blankets helps regulate temperature safely and supports prevention.
D. "I will lay my baby on their side to sleep for naps.": Side-lying is unstable and increases the risk of the infant rolling onto their stomach. The safest position for all sleep times is supine (on the back) to maintain airway patency and reduce SUIDS risk.
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.
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