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

Redcurrant, jelly-like stools

Increased hemoglobin level

Pale, oily stools

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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Correct Answer is B

Explanation

A. "I will start sending my toddler to daycare once the baby is born." Introducing major changes, like starting daycare, immediately after a new sibling's arrival may cause stress and feelings of rejection. If a change is necessary, it should be introduced well before the baby arrives to allow the toddler time to adjust.

B. "I will anticipate that my toddler might demand to have their pacifier again once their sibling is born." Regression is a common response in toddlers when a new sibling arrives. They may return to earlier behaviors such as wanting a pacifier, asking to be bottle-fed, or having potty-training setbacks. Parents should offer reassurance and patience rather than discouraging these behaviors.

C. "I will tell my toddler now about the date their sibling will arrive." Toddlers have a limited understanding of time, so telling them too early can lead to confusion and anxiety. Instead, parents should introduce the idea gradually and use tangible events (e.g., "When the leaves start falling, the baby will be here").

D. "I will tell my toddler the baby will be their new playmate." A newborn will not be an immediate playmate, and telling a toddler this may lead to disappointment or frustration. Instead, parents should explain that newborns need a lot of care but will grow and play later.

A. "Wear a face mask when working within 3 feet of a child who is infected." B. "Administer antibacterial medication within 24 hr of the onset of symptoms." C. "Children should be considered infectious for 14 days after the onset of symptoms." D. "Administer the influenza vaccine every 6 months."

Correct Answer is A

Explanation

A. "Wear a face mask when working within 3 feet of a child who is infected." Influenza spreads through droplets, so wearing a face mask within 3 feet of an infected child helps prevent transmission.
B. "Administer antibacterial medication within 24 hr of the onset of symptoms." Influenza is caused by a virus, not bacteria, so antibacterial medications (antibiotics) are not effective. Antiviral medications (e.g., oseltamivir) may be given within 48 hours of symptom onset.
C. "Children should be considered infectious for 14 days after the onset of symptoms." . Children with influenza are most contagious 1 day before symptoms appear and up to 5 to 7 days after onset.
D. "Administer the influenza vaccine every 6 months." The influenza vaccine is given annually (once per year), not every 6 months.

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Body system	Findings
Respiratory	Respiratory rate 264min
Cardiovascular	Heart rate 112/min Capillary refill 4 seconds
Gastrointestinal	Hyperactive bowel sounds
Integumentary	Diaper area reddened Extremities cool Reports no tears
Neurologic	Lethargic

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

Nursing Test Bank

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