Author Question: A home health care nurse is providing care to an older adult client who lives alone and has limited ... (Read 186 times)

cdr_15 · **on:** Jun 25, 2018

A home health care nurse is providing care to an older adult client who lives alone and has limited financial resources. The client has a history of celiac disease. When planning care for this client, which nursing diagnoses are appropriate?

Select all that apply.
A) Risk for Constipation
B) Risk for Nutrition, Imbalance: less than body requirements
C) Risk for Fluid Volume Imbalance
D) Risk for Diarrhea
E) Risk for Pain

Question 2

A school nurse is providing care to a number of school-age children diagnosed with celiac disease. Which interventions are appropriate for the nurse to implement with this group of students?

Select all that apply.
A) Teaching about gluten-free food choices
B) Emphasizing low-calorie food selections
C) Implementing a school based prevention program to eliminate the disease process
D) Labeling gluten-free choices in the school lunch program
E) Emphasizing low-fat food selections

jomama · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B, C, D, E

Client with celiac disease often have nutritional imbalance, including anemia and vitamin deficiencies; impaired absorption of fluids and electrolyte which leads to diarrhea and fluid imbalance; and pain related to abdominal bloating and cramping. Constipation is not a normal manifestation of celiac disease.

Answer to Question 2

Answer: A, D, E

Appropriate interventions for the school nurse to implement include teaching the children with celiac disease about gluten-free, low-fat food choices. The nurse would also implement the labeling of gluten-free food choices in the school lunch program to aid the children in choosing foods to eat while at school. Food selections should be high in calories and protein. Celiac disease cannot be prevented.