The nurse is teaching a newly diagnosed client with celiac disease. Which of the following statements made by the client indicate understanding on the teaching?

"My immune system reacts to gluten and damages the villi in my gut."

“I have an allergy to the proteins that are found in wheat.”

“I am glad that I can still eat rye bread.”

"The bacteria in my gut are unable to digest gluten.”

Answer and Explanation

The Correct Answer is A

A. "My immune system reacts to gluten and damages the villi in my gut.": Celiac disease is an autoimmune disorder in which gluten triggers an immune response that damages the small intestinal villi, leading to malabsorption.

B. "I have an allergy to the proteins that are found in wheat.": Celiac disease is not a wheat allergy; it is an autoimmune condition triggered by gluten, a protein found in wheat, barley, and rye.

C. "I am glad that I can still eat rye bread." : Rye contains gluten and must be avoided in celiac disease.

D. "The bacteria in my gut are unable to digest gluten." : Celiac disease is not caused by bacterial inability to digest gluten but by an autoimmune response to gluten.

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Correct Answer is A

Explanation

A. Obstruction of the bile duct: Biliary cirrhosis (now called primary or secondary biliary cholangitis) can occur due to prolonged bile duct obstruction, leading to liver damage and cirrhosis.

B. Hepatitis C: Hepatitis C can cause cirrhosis, but it is not a direct cause of biliary cirrhosis. Instead, it leads to post-viral cirrhosis.

C. Hepatotoxic medications: Certain medications (e.g., acetaminophen overdose) can cause liver damage, but they do not specifically cause biliary cirrhosis.

D. Excessive alcohol consumption: Alcohol abuse can cause alcoholic cirrhosis, but not biliary cirrhosis.

A. Contact B. Standard C. Droplet D. Airborne

Correct Answer is B

Explanation

A. Contact: Hepatitis C is transmitted primarily through blood, not through direct contact (e.g., touching contaminated surfaces). Contact precautions are not necessary unless there are open wounds or excessive body fluid exposure.

B. Standard: Hepatitis C is a bloodborne virus transmitted through exposure to infected blood (e.g., needlestick injuries, IV drug use). Standard precautions, including hand hygiene, glove use, and proper handling of sharps, are sufficient.

C. Droplet: Hepatitis C is not spread via respiratory droplets (e.g., sneezing, coughing). Droplet precautions are unnecessary.

D. Airborne: Hepatitis C is not transmitted via airborne particles (e.g., tuberculosis, measles). Airborne precautions are unnecessary.

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The nurse is teaching a newly diagnosed client with celiac disease. Which of the following statements made by the client indicate understanding on the teaching?

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