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 A
Explanation
A. Obtain written consent from the client. In many jurisdictions, adolescents have the legal right to consent to STI testing and treatment without parental consent. Written consent from the client is necessary and appropriate.
B. Request verbal consent from the social worker. The social worker does not have the legal authority to provide consent for medical testing unless they have a specific legal guardianship role or similar authorization.
C. Contact the client's parents to obtain phone consent. This is not appropriate as it breaches the adolescent's right to confidential healthcare in the context of STI testing.
D. Postpone the testing until the client's parents are present. This is not appropriate as it may delay necessary care and violates the adolescent's right to confidential healthcare.
Correct Answer is B
Explanation
A. "Hemodialysis uses an electrolyte solution to clean your child's blood." Hemodialysis does not use an electrolyte solution to clean the blood. Instead, it uses a dialysate, a special fluid that helps remove waste products and excess substances from the blood through a semi-permeable membrane in the dialyzer.
B. "Hemodialysis uses an artificial membrane outside the body to clean your child's blood." This statement is accurate. Hemodialysis involves passing the child's blood through an artificial membrane (dialyzer) outside the body to filter and clean it, removing waste products and excess fluids.
C. "Hemodialysis uses your child's abdominal cavity as a membrane to clean their blood." This statement describes peritoneal dialysis, not hemodialysis. In peritoneal dialysis, the peritoneal cavity inside the abdomen is used as a natural membrane for dialysis.
D. "Hemodialysis slowly filtrates your child's blood continuously." Continuous slow filtration of blood describes Continuous Renal Replacement Therapy (CRRT), not standard hemodialysis. Hemodialysis is typically performed several times a week for a few hours each session.
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