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?
Sausage-shaped mass in the upper right abdomen
Red-currant, jelly-like stools
Hematemesis
Steatorrhea
The Correct Answer is D
A. Sausage-shaped mass in the upper right abdomen A sausage-shaped mass in the upper right abdomen is indicative of intussusception, not celiac disease.
B. Red-currant, jelly-like stools: Red-currant, jelly-like stools are characteristic of intussusception, not celiac disease.
C. Hematemesis: Hematemesis (vomiting blood) is not a typical symptom of celiac disease. It is more commonly associated with conditions involving gastrointestinal bleeding such as esophageal varices or severe gastritis.
D. Steatorrhea: Steatorrhea (fatty stools) is a common finding in celiac disease due to malabsorption of fats in the intestine. The inability to digest and absorb fat leads to pale, foul-smelling, and bulky stools.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Follows airborne precautions by wearing an N95 respirator while caring for the child: Pertussis requires droplet precautions, not airborne precautions. An N95 respirator is not necessary.
B. Maintains droplet precautions while the child is coughing and sneezing: Correct. Droplet precautions are appropriate for pertussis, which is spread through respiratory droplets. These precautions help prevent the transmission of the infection.
C. Wears gloves when assisting the child to the bathroom: While wearing gloves is a standard precaution, it does not specifically address the droplet transmission route of pertussis. Gloves alone are not sufficient for preventing the spread of pertussis.
D. Applies a face mask after entering the child's room: The face mask should be applied before entering the room to ensure the nurse is protected from respiratory droplets immediately upon entry.
Correct Answer is A
Explanation
A. Remain uninvolved until the child awakens. This can be distressing for both the child and the parent. Parents should provide comfort and ensure the child is safe without trying to fully awaken them. Staying uninvolved until the child awakens ensures they do not reinforce the behavior inadvertently
B. Take the child to the parent's bed to resume sleep. This can create a dependency on sleeping with the parent and may disrupt the child's ability to self-soothe and sleep independently.
C. Schedule professional counselling for the child. While severe cases may benefit from professional help, many children experience sleep terrors that do not require counselling. It’s not the first-line approach.
D. Allow the child to fall asleep with the television on. This is not advisable as it can create unhealthy sleep habits and the light from the television can disrupt sleep cycles.
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