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 B
Explanation
Choice A reason: Lactulose doesn’t lower glucose; it’s a sugar metabolized by gut bacteria, unrelated to blood sugar control in cirrhosis, where glucose issues stem elsewhere.
Choice B reason: In cirrhosis, lactulose traps ammonia in the gut by acidifying it, promoting excretion and reducing toxic levels that cause hepatic encephalopathy, the primary goal.
Choice C reason: Potassium levels aren’t directly reduced by lactulose; it affects ammonia via gut pH, not electrolytes like potassium, which may rise in renal issues.
Choice D reason: Bicarbonate isn’t targeted by lactulose; it’s a buffer altered in acid-base imbalances, not the focus in cirrhosis where ammonia reduction is critical.
Correct Answer is A
Explanation
Choice A reason: Albuterol, a bronchodilator, rapidly opens airways in COPD, relieving acute shortness of breath and improving oxygenation from 85% by relaxing bronchial smooth muscle.
Choice B reason: Mucolytics thin mucus over time, not addressing acute dyspnea or low saturation (85%) quickly, lacking the immediacy needed in this scenario.
Choice C reason: Montelukast prevents asthma inflammation long-term via leukotriene blockade, not providing rapid relief for COPD’s acute bronchospasm or hypoxia here.
Choice D reason: Prednisone reduces COPD inflammation systemically, but its slow onset doesn’t acutely reverse shortness of breath or oxygen drop like a bronchodilator.
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