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 D

Explanation

Choice A reason: Increasing fiber binds dietary calcium, reducing absorption in hyperparathyroidism, aiding excretion, so this statement aligns with proper management.

Choice B reason: Furosemide enhances calcium excretion via urine, countering hyperparathyroidism’s high levels, making this an accurate understanding of treatment intent.

Choice C reason: Parathyroidectomy removes overactive glands, correcting calcium overproduction in hyperparathyroidism, a correct expectation reflecting disease management.

Choice D reason: Fluid restriction (1,000 mL) concentrates calcium, worsening hypercalcemia in hyperparathyroidism; increased fluids dilute it, so this needs correction.

A. Symptoms improve immediately after starting the medication B. The medication decreases the overproduction of the thyroid hormone thyroxine C. Take this medication until your symptoms are gone and then discontinue D. Tremors, nervousness, and insomnia may indicate your dose is too high

Correct Answer is D

Explanation

Choice A reason: Levothyroxine takes weeks to normalize metabolism in hypothyroidism as T4 converts to T3 gradually, so immediate symptom relief isn’t accurate or expected.

Choice B reason: Levothyroxine supplements, not decreases, thyroxine in hypothyroidism. Decreasing overproduction applies to hyperthyroidism treatments like antithyroid drugs, not this condition.

Choice C reason: Hypothyroidism requires lifelong levothyroxine since the thyroid can’t produce hormone. Stopping when symptoms resolve risks recurrence, making this advice incorrect.

Choice D reason: Excess levothyroxine mimics hyperthyroidism, causing tremors, nervousness, and insomnia from overstimulated metabolism, correctly indicating a need for dose adjustment.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a client on hyperparathyroidism. Which of the following statements would require further teaching?

Correct Answer is D

Explanation

A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?

A nurse notes in the client's health history a diagnosis of hepatitis B. Which of the following activities would most likely put the client at risk for this illness?

A nurse is providing discharge teaching to a client who has peripheral arterial disease (PAD). Which of the following instructions should the nurse include in the teaching?

The nurse is caring for a client who is recovering from acute pancreatitis. The client asks the nurse when they can begin eating again. Which response by the nurse is most accurate?

The nurse is assessing a client with esophageal varices. Which of these findings would be early indicators of bleeding?

The clinic nurse is reviewing the client's symptoms which include hair loss, feeling tired, always being very cold, and having constipation. Which of the following complications may arise if the patient does not receive treatment?

A client is scheduled to receive peritoneal dialysis. Which of the following is the highest priority action that the nurse should perform before starting dialysis?

The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?