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. "Encourage your child to drink liquids through a straw." Using a straw can create negative pressure that may dislodge clots at the surgical site, increasing the risk of bleeding. Therefore, this is not recommended.
B. "Notify the provider if your child is swallowing frequently." Frequent swallowing can be a sign of bleeding at the surgical site. It’s important to monitor for this as it may indicate that the child is swallowing blood, which could lead to serious complications.
C. "Encourage your child to clear their throat as needed." Clearing the throat can cause irritation and increase the risk of bleeding at the surgical site. It is generally advised to avoid actions that might disturb the surgical site.
D. "Notify the provider if your child has dark brown blood between their teeth." Dark brown blood can indicate old blood which is less concerning than bright red blood. However, any bleeding should be monitored, and bright red blood is of particular concern. The more immediate issue is frequent swallowing as it indicates active bleeding
Correct Answer is B
Explanation
A. Hypotension: Hypotension is not a common adverse effect of cefazolin. While severe allergic reactions can cause hypotension, it is not a typical side effect to monitor for with cefazolin specifically.
B. Stevens-Johnson syndrome: Correct. Stevens-Johnson syndrome (SJS) is a rare but serious adverse effect of many antibiotics, including cefazolin. SJS is a severe skin reaction that requires immediate medical attention.
C. Prolonged wound healing: Cefazolin is an antibiotic and would not typically cause prolonged wound healing; instead, it is used to prevent or treat infections that might impair healing.
D. Bradypnea: Bradypnea is not associated with cefazolin. Respiratory depression is not a common side effect of this antibiotic.
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