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.”
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Blood sugar: Acute pancreatitis causes inflammation and damage to the pancreas, reducing insulin production, leading to hyperglycemia but it is not as specific as lipase for diagnosing pancreatitis.
B. Troponin: Troponin is a marker of myocardial injury (e.g., heart attack) and is not typically elevated in pancreatitis.
C. Brain Natriuretic Peptide (BNP): BNP is released in response to heart failure and does not typically rise in pancreatitis.
D. Lipase: Lipase is an enzyme produced by the pancreas to digest fats. In acute pancreatitis, lipase levels are significantly elevated due to pancreatic injury.
Correct Answer is A
Explanation
A. Decrease levels of CEA indicate the treatment of your colon cancer was effective: CEA is a tumor marker primarily used to monitor treatment response in certain cancers, especially colorectal cancer. A decrease in CEA levels after treatment suggests a positive response and reduced tumor burden.
B. Increased levels of CEA indicate that surgery to correct your diverticulitis was effective: CEA is not used to monitor diverticulitis. It is mainly associated with cancers, particularly colorectal cancer. An increase in CEA levels suggests possible cancer recurrence or progression, not resolution of diverticulitis.
C. Increased levels of CEA indicate a return of your pancreatitis: CEA is not a marker for pancreatitis. Pancreatitis is typically monitored using amylase, lipase, and imaging studies.
D. Decreased levels of CEA indicate that you have Ulcerative Colitis: Ulcerative colitis is an inflammatory bowel disease (IBD) that is not diagnosed or monitored using CEA. While chronic inflammation may increase cancer risk over time, CEA is not a direct indicator of UC.
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