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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Stopping speech entirely suggests advanced Alzheimer’s or aphasia, not mild, where memory and task performance decline first, not communication fully.
Choice B reason: Difficulty with toothbrush and comb indicates moderate Alzheimer’s, where motor apraxia emerges, beyond mild stage’s primary memory issues.
Choice C reason: Forgetfulness and slower task completion reflect mild Alzheimer’s early memory loss and executive dysfunction, impairing planning, consistent with initial stages.
Choice D reason: Bladder and bowel incontinence occur in late Alzheimer’s from severe brain damage, not mild, where cognitive, not physical, decline predominates.
Correct Answer is A
Explanation
Choice A reason: Myxedema, severe hypothyroidism, slows metabolism, reducing cardiac output and causing fluid retention in tissues, leading to non-pitting leg edema from glycosaminoglycan deposits and poor circulation.
Choice B reason: Heat intolerance occurs in hyperthyroidism due to increased metabolism raising body temperature. Myxedema causes cold intolerance from slowed metabolism, making this finding unlikely.
Choice C reason: Tachycardia is a hyperthyroid symptom from excess thyroid hormone speeding heart rate. Myxedema leads to bradycardia as metabolism and cardiac activity decrease significantly.
Choice D reason: Diarrhea aligns with hyperthyroidism’s accelerated gut motility. Myxedema causes constipation from slowed metabolism reducing peristalsis, so diarrhea contradicts this condition’s physiology.
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