A nurse has been working with a teenager who has celiac disease. ...

[Pineapplelove6]

A nurse has been working with a teenager who has celiac disease. Which statement by the patient indicates that goals for an important diagnosis have been met?
 
  A.
  Gluten is obvious and easy to find in food products.
  B.
  I am gaining weight and I have more energy.
  C.
  Rice was my favorite; I hated to give that up.
  D.
  When my symptoms go away I can eat wheat again.

Question 2

The pediatric nurse is caring for a hospitalized child with cirrhosis who has 4+ pitting edema. Which laboratory value would the nurse correlate with the edema?
 
  A.
  Albumin: low
  B.
  Cholesterol: low
  C.
  Prothrombin time: high
  D.
  White blood cell count: high

[Rilsmarie951]

Answer to Question 1

ANS: B
Celiac disease causes malabsorption of nutrients. The child who is gaining weight and is more energetic is most likely following the required diet. Because knowledge of dietary management is a major goal for patients with this disease, this statement shows that this goal has been met. The other statements are incorrect. Gluten is often hidden in foods. Rice is allowed. Following the gluten-free diet is required for life.

Answer to Question 2

ANS: A
All of these laboratory values are typical in a patient with cirrhosis. However, albumin deficiency causes fluid to be lost from the vascular space, leading to edema.

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[okolip]

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