A nurse is performing an assessment for a 5-year-old child who has celiac disease. Which of the following findings should the nurse expect?
Hematemesis
Malnutrition
Red currant jelly-like stools
Sausage-shaped mass in the upper right abdomen
The Correct Answer is B
A. Hematemesis: Vomiting blood is not a typical finding in celiac disease. Celiac disease primarily affects the small intestine’s ability to absorb nutrients rather than causing gastrointestinal bleeding.
B. Malnutrition: Malnutrition is a common finding in children with celiac disease due to malabsorption of essential nutrients. This can manifest as poor growth, weight loss, fatigue, and deficiencies in vitamins and minerals, reflecting the chronic impact of gluten-induced intestinal damage.
C. Red currant jelly-like stools: This type of stool is characteristic of intussusception, not celiac disease. It indicates intestinal obstruction and is unrelated to the chronic malabsorption seen in celiac disease.
D. Sausage-shaped mass in the upper right abdomen: A palpable sausage-shaped mass is typically associated with intussusception rather than celiac disease. Celiac disease does not usually cause palpable abdominal masses, but may present with a distended abdomen due to bloating or fluid accumulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Compartment syndrome: Compartment syndrome is a serious and potentially life-threatening complication that can occur within the first 24 hours after fractures. It results from increased pressure within a muscle compartment, leading to decreased perfusion, pain, swelling, and neurovascular compromise, and requires prompt recognition and intervention.
B. Osteomyelitis: Osteomyelitis, a bone infection, typically develops over days to weeks after an injury or surgery. It is unlikely to occur within the first 24 hours following closed fractures, making it a less immediate concern during initial assessment.
C. Renal calculi: Renal calculi are kidney stones that develop over time due to metabolic or urinary factors. They are not an acute complication of closed fractures in the immediate post-injury period and are not a primary concern during the first 24 hours.
D. Volkmann ischemic contracture: Volkmann contracture is a late complication of untreated compartment syndrome, typically developing days to weeks after the initial ischemic event. Monitoring for early signs of compartment syndrome is critical to prevent this long-term deformity.
Correct Answer is A
Explanation
A. Lanugo: Adolescents with anorexia nervosa often develop lanugo, which is fine, downy hair that appears as the body attempts to conserve heat in response to significant weight loss and decreased subcutaneous fat. This finding is a classic physical adaptation seen in severe malnutrition.
B. Hypertension: Anorexia nervosa is commonly associated with hypotension rather than hypertension due to decreased cardiac output, dehydration, and electrolyte imbalances. Elevated blood pressure is not an expected assessment finding in this condition.
C. Tachycardia: Bradycardia is more commonly observed in anorexia nervosa as a result of decreased metabolic demand and cardiac muscle atrophy. Tachycardia may occur during complications or refeeding but is not a typical baseline finding.
D. Fever: Clients with anorexia nervosa often have hypothermia rather than fever because of reduced energy stores and impaired thermoregulation. Fever would suggest infection or another underlying condition rather than anorexia nervosa itself.
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