Which nursing diagnosis has the highest priority for the child ...

[jilianpiloj]

Which nursing diagnosis has the highest priority for the child with celiac disease?
 
  a. Pain related to chronic constipation
  b. Altered growth and development related to obesity
  c. Fluid volume excess related to celiac crisis
  d. Imbalanced nutrition: Less than body re-quirements related to malabsorption

Question 2

Which assessment findings would be significant for a child with cirrhosis?
 
  a. Weight loss
  b. Change in level of consciousness
  c. Soft, smooth skin
  d. Pallor and cyanosis

[cdmart10]

Answer to Question 1

D
Imbalanced nutrition: Less than body requirements related to malabsorption is the highest priority nursing diagnosis because celiac disease causes gluten enteropathy, a malabsorption condition. The pain associated with celiac disease is associated with diarrhea, not constipation. Celiac disease causes altered growth and development associated with malnutrition, not obesity. Celiac crisis causes fluid volume deficit.

Answer to Question 2

B
The child with cirrhosis must be assessed for encephalopathy, which is characterized by a change in level of consciousness. Encephalopathy can result from a buildup of ammonia in the blood from the incomplete breakdown of protein. One complication of cirrhosis is ascites. The child needs to be assessed for increasing abdominal girth and edema. A child who is retaining fluid will not exhibit weight loss. Biliary obstruction can lead to intense pruritus. The skin will be irritated from frequent scratching. A skin assessment would likely reveal jaundice. Pallor and cyanosis are associated with a cardiac problem.

[jilianpiloj]

TYSM

[Alyson.hiatt@yahoo.com]

Excellent