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

[jazziefee]

Which nursing diagnosis has the highest priority for the toddler with celiac disease?
 
  a. Disturbed Body Image related to chronic constipation
  b. Risk for Disproportionate Growth related to obesity
  c. Excess Fluid Volume related to celiac crisis
  d. Imbalanced Nutrition: Less than Body Requirements related to malabsorption

Question 2

Which assessment finding is the most significant to report to the physician for a child with cirrhosis?
 
  a. Weight loss
  b. Change in level of consciousness
  c. Skin with pruritus
  d. Black, foul-smelling stools

[zacnyjessica]

Answer to Question 1

D
Feedback
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
Feedback
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.

[jazziefee]

Excellent

[mjenn52]

TYSM