Author Question: Mr. T is a 39-year-old client recently diagnosed with celiac sprue after admission to the local ... (Read 49 times)

folubunmi · **on:** Aug 2, 2018

Mr. T is a 39-year-old client recently diagnosed with celiac sprue after admission to the local hospital with abdominal pain, diarrhea, and weight loss.

On discharge the nurse explains that he must be very diligent in following his diet because he is at risk for malnutrition due to: 1. Poor nutritional absorption as a result of inflammation of the mucosal surfaces. 2. Large losses of intestinal fluid causing the loss of zinc. 3. Steatorrhea resulting from poor fat absorption. 4. Malabsorption caused by atrophy of the intestinal villi.

Question 2

The nurse is discussing with the nutrition class which dietary supplements older adults need to take. Which supplement is needed by older adults?

A) Vitamin B6 B) Vitamin K C) Vitamin D D) Niacin

Dnite · **Reply #1 on:** Aug 2, 2018

Answer to Question 1

4
Rationale: Celiac sprue is an autoimmune disease that causes atrophy rather than inflammation to intestinal villi. Large losses of intestinal fluid and loss of zinc result from inflammatory bowel disease. Steatorrhea, or fatty diarrhea, causes malabsorption of calcium.

Answer to Question 2

C
Feedback:
A study showed that the use of supplements significantly improved the status of several vitamins in elderly people, particularly for vitamins B1, B2, B12, folate, and vitamin D.