A nurse is caring for a preschooler who has a new diagnosis of celiac disease. Which of the following findings should the nurse expect?
Hematemesis
Increased hemoglobin level
Redcurrant, jelly-like stools
Pale, oily stools
The Correct Answer is D
A. Hematemesis (vomiting blood): Hematemesis (vomiting blood) is not typically associated with celiac disease. It is more commonly seen in conditions like gastrointestinal bleeding, ulcers, or esophageal varices.
B. Increased hemoglobin level: Celiac disease can lead to malabsorption of nutrients, including iron, which often results in anemia and decreased hemoglobin levels rather than increased hemoglobin levels.
C. Redcurrant, jelly-like stools: Redcurrant jelly-like stools are characteristic of intussusception, not celiac disease. Intussusception is a condition where part of the intestine folds into another section, leading to obstruction and characteristic stools.
D. Pale, oily stools: Pale, oily (steatorrhea) stools are a common finding in celiac disease. This is due to malabsorption of fats caused by damage to the small intestine's lining, leading to the excretion of undigested fats in the stool.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A 3-year-old child with a newly applied cast for a fractured arm who stutters: Stuttering in a 3-year-old is not an immediate indicator for an auditory evaluation unless accompanied by other signs of hearing issues.
B. A 3-month-old infant discharged two days ago after hospitalization for bacterial meningitis: Bacterial meningitis can lead to hearing loss, so an auditory evaluation is appropriate for this infant to assess for any hearing impairment resulting from the infection.
C. A 24-month-old toddler who recently completed a course of erythromycin for treatment of pertussis: Erythromycin use is not typically associated with hearing loss. The focus should be on monitoring recovery from pertussis.
D. A 6-month-old infant who is experiencing loose stools and is babbling loudly: Loose stools and babbling are not related to hearing issues and do not indicate the need for an auditory evaluation.
Correct Answer is D
Explanation
A. Double vision: Double vision is not a common complication of a lumbar puncture. Complications typically involve symptoms related to cerebrospinal fluid (CSF) leakage or infection.
B. Nuchal rigidity when standing: Nuchal rigidity (stiff neck) can indicate meningitis, but it is not specifically a complication of a lumbar puncture. Nuchal rigidity is more likely to be associated with an underlying condition that prompted the lumbar puncture rather than the procedure itself.
C. Pain in the posterior iliac crest: Pain at the posterior iliac crest is not typical after a lumbar puncture, as the procedure is performed in the lower back at the lumbar spine region.
D. Headache: Headache is a common complication following a lumbar puncture, often due to a CSF leak. The headache typically worsens when the patient is in an upright position and improves when lying down.
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