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The parent of a child being evaluated for cellac disease asks the nurse why it is important maka dietary changes. What is the user's best response?

The body's response to gluten causes the intestine to become more porous and hang on to more of the fat-soluble vitamins, leading to vitamin toxicity."

"The body's response to gluten causes damage to the mucosal cells in the intestines leading to absorption problems

"The body's response to consumption of anything containing gluten is to create special cells called villi, which leads to more diarrhea

"The body's response to gluten causes damage to the mucosal cells, leading to malabsorption of water and hard, constipated stools

Answer and Explanation

The Correct Answer is B

A. "The body's response to gluten causes the intestine to become more porous and hang on to more of the fat-soluble vitamins, leading to vitamin toxicity." This answer is not accurate. The issue in celiac disease is malabsorption, not vitamin toxicity.

B. "The body's response to gluten causes damage to the mucosal cells in the intestines leading to absorption problems."

Celiac disease is an autoimmune disorder in which the ingestion of gluten (a protein found in wheat, barley, and rye) leads to damage of the mucosal cells in the small intestine. This damage, in turn, can lead to malabsorption of essential nutrients, including vitamins, minerals, and other important components of the diet. It is important for individuals with celiac disease to avoid gluten-containing foods to prevent ongoing damage to the intestinal mucosa and improve nutrient absorption.

C. "The body's response to consumption of anything containing gluten is to create special cells called villi, which leads to more diarrhea." This statement is not accurate. Celiac disease leads to damage to the villi (finger-like projections) in the small intestine, not the creation of special cells. It can lead to diarrhea but is not the primary cause.

D. "The body's response to gluten causes damage to the mucosal cells, leading to malabsorption of water and hard, constipated stools." This response is not accurate. Celiac disease is more commonly associated with diarrhea and malabsorption, not constipation and malabsorption of water.

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Correct Answer is D

Explanation

A. Diabetes Insipidus is associated with reduced ADH levels, leading to excessive urination and dehydration, not hyponatremia.

B. Acromegaly results from excessive growth hormone (not ADH) secretion, causing abnormal growth of tissues and bones.

C. Addison's disease involves the adrenal glands and the insufficient production of cortisol and aldosterone, not ADH-related hyponatremia.

D. Syndrome of Inappropriate Antidiuretic Hormone (SIADH).

SIADH is a disorder characterized by the excessive release of antidiuretic hormone (ADH) from the posterior pituitary gland, leading to increased water reabsorption by the kidneys. This results in diluted blood and hyponatremia (low sodium levels) due to the retention of water. Patients with SIADH often experience fluid overload and related symptoms.

A. Decrease pulmonary congestion B. Stimulate the production of red blood cells C. Keep the ductus arteriosus open. D. Increase blood flow to the system

Correct Answer is C

Explanation

In transposition of the great vessels (TGV), the aorta and the pulmonary artery are switched, causing oxygen-rich blood to be pumped back to the lungs and oxygen-poor blood to be pumped out to the body. The ductus arteriosus, a fetal blood vessel that normally closes shortly after birth, allows blood to mix between the two circulations.

Prostaglandin E1 is used to keep the ductus arteriosus open, allowing for a controlled mixing of oxygenated and deoxygenated blood, which can improve oxygen delivery to the body in cases of TGV. This helps maintain oxygenation until corrective surgical interventions can be performed.

The other options, A (decrease pulmonary congestion), B (stimulate the production of red blood cells), and D (increase blood flow to the system), do not accurately describe the primary purpose of Prostaglandin E1 in the context of TGV. The main goal is to maintain a pathway for oxygenated blood to mix with deoxygenated blood to improve oxygen delivery to the body.

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The parent of a child being evaluated for cellac disease asks the nurse why it is important maka dietary changes. What is the user's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Elevated anti-diuretic (ADH) levels and hyponatremia is seen with which of the following disorders?

Correct Answer is D

Explanation

The nurse explains that the medication Prostaglandin E1 is being given to their child with transposition of the great vessels to:

Correct Answer is C

Explanation

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