Answer to Question 1
D
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A Body Image disturbances are not usually apparent in toddlers. This is more
common in adolescents. It is not the priority nursing diagnosis.
B Celiac disease causes disproportionate growth and development associated with
malnutrition, not obesity.
C Celiac crisis causes deficient fluid volume.
D Imbalanced Nutrition: Less than Body Requirements is the highest priority
nursing diagnosis because celiac disease causes gluten enteropathy, a
malabsorption condition.
Answer to Question 2
B
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A 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.
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.
C Biliary obstruction can lead to pruritus, which is a frequent finding. An alteration
in the level of consciousness is of higher priority.
D Black, tarry stools may indicate blood in the stool. This needs be reported to the
physician. This is not a higher priority than a change in level of consciousness.
Nursing Student
Nursing history for hair and scalp assessment
Nursing history for musculoskeletal assessment
A deer tick can cause Lyme disease.
Patients with celiac disease must maintain a gluten-free diet. Many gluten-free items are widely ...
Gingivitis causes redness and swelling of the gums and can lead to more serious gum disease