What is the priority of care for a child who was recently diagnosed with celiac disease?

Teaching the parents to establish a diet that promotes optimal growth

Preventing celiac crisis and resulting problems

Helping the parents and child adjust to the long-term dietary restrictions

Minimizing the complications of respiratory involvement

Peaches

Answer and Explanation

The Correct Answer is A

Choice A reason: Celiac disease requires a gluten-free diet to prevent malabsorption, ensuring nutrient uptake for growth, the priority in a child to support development long-term.

Choice B reason: Celiac crisis, severe diarrhea, is rare post-diagnosis with dietary control; preventing it is secondary to establishing a sustainable diet for ongoing health.

Choice C reason: Adjusting to dietary restrictions supports compliance but follows initial education on a gluten-free diet, which is foundational for managing celiac disease effectively.

Choice D reason: Respiratory issues aren’t linked to celiac disease, which affects the gut; this option is irrelevant, as complications are gastrointestinal, not pulmonary.

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Correct Answer is ["B"]

Explanation

Choice A reason: Calcium carbonate supplements increase serum calcium by providing exogenous calcium, worsening hyperparathyroidism’s already elevated levels from excessive PTH-driven bone resorption and gut absorption.

Choice B reason: A low calcium diet reduces intake, limiting absorption, while high fiber binds calcium in the gut, enhancing fecal excretion, countering PTH’s hypercalcemic effect in hyperparathyroidism.

Choice C reason: Parathyroidectomy removes overactive glands, directly stopping excessive PTH production, which drives calcium release from bones and reabsorption in kidneys, effectively normalizing calcium levels.

Choice D reason: Furosemide, a loop diuretic, increases renal calcium excretion by inhibiting reabsorption in the loop of Henle, reducing serum calcium elevated by PTH in hyperparathyroidism.

Choice E reason: Fluid restriction raises calcium concentration by reducing dilution, worsening hypercalcemia in hyperparathyroidism, where PTH already increases calcium reabsorption, making this counterproductive.

A. Renin B. Brain natriuretic peptide (BNP) C. Erythropoietin D. Calcitonin

Correct Answer is D

Explanation

Choice A reason: Renin, from the kidneys, regulates blood pressure via angiotensin, not a thyroid product, unrelated to its metabolic or calcium functions.

Choice B reason: BNP, secreted by the heart, reduces volume overload in heart failure, not a thyroid hormone, distinct from its endocrine role.

Choice C reason: Erythropoietin, from kidneys, stimulates red blood cell production, not produced by the thyroid, which focuses on metabolism and calcium.

Choice D reason: Calcitonin, from thyroid parafollicular cells, lowers blood calcium by inhibiting bone resorption, a key thyroid hormone alongside T3/T4.

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What is the priority of care for a child who was recently diagnosed with celiac disease?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with hyperparathyroidism. Which of the following orders from the healthcare provider can be expected to reduce the client's overproduction of calcium? (Select all that apply)

Correct Answer is ["B"]

Explanation

Which of the following hormones is secreted by the thyroid gland?

Correct Answer is D

Explanation

What is the priority of care for a child who was recently diagnosed with celiac disease?

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