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A nurse is caring for a preschooler who has a new diagnosis of celiac disease. Which of the following findings should the nurse expect?

A.

Redcurrant, jelly-like stools

B.

Increased hemoglobin level

C.

Pale, oily stools

D.

Hematemesis

Answer and Explanation

The Correct Answer is C

A. Redcurrant, jelly-like stools. This is more characteristic of intussusception, a different gastrointestinal condition, rather than celiac disease.

B. Increased hemoglobin level. Celiac disease often leads to malabsorption, which can cause iron-deficiency anemia, leading to a decreased hemoglobin level, not an increased one.

C. Pale, oily stools. Children with celiac disease have difficulty absorbing fats, leading to steatorrhea (pale, oily stools). This is a classic sign of malabsorption in celiac disease.

D. Hematemesis. Hematemesis (vomiting blood) is not a typical sign of celiac disease. It may indicate a different GI issue, such as gastric bleeding.


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Related Questions

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

Severe Pain Management: The child's pain increased from 7/10 to 10/10, indicating worsening vaso-occlusive crisis. IV hydromorphone (Dilaudid) is a strong opioid analgesic commonly used for severe sickle cell pain when first-line options (e.g., morphine) are insufficient. Swelling and warmth in the right knee suggest ongoing vaso-occlusion and inflammation. Increased blood pressure (120/74 mm Hg) and respiratory rate (25/min) likely indicate pain-related distress.

Correct Answer is B

Explanation

A. "Introduce solid foods when the infant reaches 3 months of age." Solid foods should be introduced around 4 to 6 months of age, when the infant shows signs of readiness (e.g., sitting with support, loss of tongue-thrust reflex).
B. "Offer 1 tablespoon as a serving size for the infant's solid food." A general guideline is 1 tablespoon of food per year of age per serving, so for an infant just starting solids, 1 tablespoon is appropriate per meal.
C. "Add 1 teaspoon of honey to the infant's bottle of formula if constipation occurs." Honey should not be given to infants under 1 year old due to the risk of botulism.
D. "Introduce the infant to a new solid food every other day." New foods should be introduced one at a time, every 3 to 5 days, to monitor for potential allergic reactions.

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