Nursing 245 Week 6 Exam Questions and Answers
Celine Hernandez is a 12-year-old child who has recently been diagnosed with short bowel
syndrome. Which manifestation will Celine's nurse note and plan for in Celine's plan of
care? - -Electrolyte imbalances
-Andrea is a 5-year-old girl who was recently diagnosed with celiac disease. She initially
presented with minimal growth for the past 6 months, anemia, and occasional experiences
of abdominal cramping and diarrhea. She is receiving health teaching regarding nutrition
needs and practices. During the nurse's discussion with Andrea, which meal selection
would indicate that Andrea understands correct dietary practices? - -Salad of mixed greens
with roasted chicken, reduced-fat cheddar cheese, and low fat-dressing; an apple; and
lemonade
-Kimana Haxo is a 35-year-old Native American woman who was recently diagnosed with
lactose intolerance. She experienced cramping lower abdominal pain after consuming large
amounts of dairy products. She is seeking health care today to increase her knowledge
about foods that are likely and those that are less likely to induce symptoms of lactose
intolerance. What type of diet willKimana's nurse suggest implementing? - -High calorie
-A nurse is caring for a client with a local manifestation of celiac disease. Which diagnostic
test is used for diagnosing a local manifestation of celiac disease? - -Fecal fat level
Learning Objective
Identify collaborative therapies used by interdisciplinary teams.
Rationale
The nurse should anticipate that a fecal fat level measurement will be ordered; it is a
diagnostic test for steatorrhea, which is a local manifestation of celiac disease. A serum
protein level and cholesterol level are diagnostic tests to evaluate for nutritional
deficiencies that are systemic manifestations of celiac disease. Red blood cell count is a
diagnostic test to evaluate for anemia, which is a systemic manifestation of celiac disease.
-The nurse is planning care for a client with celiac disease. Which problem is the priority
for the nurse to address when caring for this client? - -Nutritional imbalance
Learning Objective
Apply the nursing process to provide culturally competent care across the life span.
Rationale
Nutritional imbalance is the priority problem for the nurse to address because celiac
disease is a disease of malabsorption. Constipation, activity intolerance, and fatigue are not
priority problems for the nurse to address when caring for a client with celiac disease.
-The healthcare provider orders a pharmacologic treatment for a client with celiac disease
to reduce the inflammatory response. Which medication would the nurse administer to this
client?
Group of answer choices - -Corticosteroid
Learning Objective
, Identify collaborative therapies used by interdisciplinary teams.
Rationale
Corticosteroids will reduce the inflammatory response experienced with celiac disease.
Folic acid and iron treat anemia and will not reduce the inflammatory response
experienced with celiac disease. Acetaminophen is not a medication that is used to reduce
the inflammatory response experienced with celiac disease.
-The nurse is caring for a client with lactose intolerance. Which intervention is most
appropriate when caring for this client? - -Monitor fluid intake.
Learning Objective
Apply the nursing process to provide culturally competent care across the life span.
Rationale
The most appropriate intervention is monitoring the fluid intake because dehydration may
be life threatening. Administering antacids is not a pharmacologic intervention in the
treatment of lactose intolerance. The nurse should weigh the client daily. While providing
oral care is an appropriate intervention, it is not necessary to do every 2 hours for a client
with lactose intolerance.
-The nurse is caring for a client with celiac disease. Which items from the nursing
assessment support this diagnosisAnemia? - -Anemia
Abdominal bloating
Muscle wasting
Learning Objective
Differentiate the pathophysiology, etiology, risk factors, prevention, and clinical
manifestations.
Rationale
Assessment findings that support the current diagnosis include abdominal bloating, muscle
wasting, and anemia. Hypertension and bradycardia do not support this diagnosis.
-The nurse is caring for a hospitalized client and is reviewing the client's health history and
database information. Which factor places the client at risk for lactase deficiency? - -Crohn
disease
Learning Objective
Differentiate the pathophysiology, etiology, risk factors, prevention, and clinical
manifestations.
Rationale
Lactase deficiency can occur secondary to celiac and Crohn disease, not pancreatitis or
ulcerative colitis. Hispanics are not at a greater risk for developing this deficiency.
-Which are examples of malabsorption disorders? - -Celiac disease
Short bowel syndrome
Correct!
Lactase deficiency
Celiac disease is a malabsorption disorder of the small intestine in which the absorption of
nutrients is impaired. In lactase deficiency, a malabsorption disorder, the body is unable to
digest and metabolize lactose. Short bowel syndrome is a malabsorption disorder that
Celine Hernandez is a 12-year-old child who has recently been diagnosed with short bowel
syndrome. Which manifestation will Celine's nurse note and plan for in Celine's plan of
care? - -Electrolyte imbalances
-Andrea is a 5-year-old girl who was recently diagnosed with celiac disease. She initially
presented with minimal growth for the past 6 months, anemia, and occasional experiences
of abdominal cramping and diarrhea. She is receiving health teaching regarding nutrition
needs and practices. During the nurse's discussion with Andrea, which meal selection
would indicate that Andrea understands correct dietary practices? - -Salad of mixed greens
with roasted chicken, reduced-fat cheddar cheese, and low fat-dressing; an apple; and
lemonade
-Kimana Haxo is a 35-year-old Native American woman who was recently diagnosed with
lactose intolerance. She experienced cramping lower abdominal pain after consuming large
amounts of dairy products. She is seeking health care today to increase her knowledge
about foods that are likely and those that are less likely to induce symptoms of lactose
intolerance. What type of diet willKimana's nurse suggest implementing? - -High calorie
-A nurse is caring for a client with a local manifestation of celiac disease. Which diagnostic
test is used for diagnosing a local manifestation of celiac disease? - -Fecal fat level
Learning Objective
Identify collaborative therapies used by interdisciplinary teams.
Rationale
The nurse should anticipate that a fecal fat level measurement will be ordered; it is a
diagnostic test for steatorrhea, which is a local manifestation of celiac disease. A serum
protein level and cholesterol level are diagnostic tests to evaluate for nutritional
deficiencies that are systemic manifestations of celiac disease. Red blood cell count is a
diagnostic test to evaluate for anemia, which is a systemic manifestation of celiac disease.
-The nurse is planning care for a client with celiac disease. Which problem is the priority
for the nurse to address when caring for this client? - -Nutritional imbalance
Learning Objective
Apply the nursing process to provide culturally competent care across the life span.
Rationale
Nutritional imbalance is the priority problem for the nurse to address because celiac
disease is a disease of malabsorption. Constipation, activity intolerance, and fatigue are not
priority problems for the nurse to address when caring for a client with celiac disease.
-The healthcare provider orders a pharmacologic treatment for a client with celiac disease
to reduce the inflammatory response. Which medication would the nurse administer to this
client?
Group of answer choices - -Corticosteroid
Learning Objective
, Identify collaborative therapies used by interdisciplinary teams.
Rationale
Corticosteroids will reduce the inflammatory response experienced with celiac disease.
Folic acid and iron treat anemia and will not reduce the inflammatory response
experienced with celiac disease. Acetaminophen is not a medication that is used to reduce
the inflammatory response experienced with celiac disease.
-The nurse is caring for a client with lactose intolerance. Which intervention is most
appropriate when caring for this client? - -Monitor fluid intake.
Learning Objective
Apply the nursing process to provide culturally competent care across the life span.
Rationale
The most appropriate intervention is monitoring the fluid intake because dehydration may
be life threatening. Administering antacids is not a pharmacologic intervention in the
treatment of lactose intolerance. The nurse should weigh the client daily. While providing
oral care is an appropriate intervention, it is not necessary to do every 2 hours for a client
with lactose intolerance.
-The nurse is caring for a client with celiac disease. Which items from the nursing
assessment support this diagnosisAnemia? - -Anemia
Abdominal bloating
Muscle wasting
Learning Objective
Differentiate the pathophysiology, etiology, risk factors, prevention, and clinical
manifestations.
Rationale
Assessment findings that support the current diagnosis include abdominal bloating, muscle
wasting, and anemia. Hypertension and bradycardia do not support this diagnosis.
-The nurse is caring for a hospitalized client and is reviewing the client's health history and
database information. Which factor places the client at risk for lactase deficiency? - -Crohn
disease
Learning Objective
Differentiate the pathophysiology, etiology, risk factors, prevention, and clinical
manifestations.
Rationale
Lactase deficiency can occur secondary to celiac and Crohn disease, not pancreatitis or
ulcerative colitis. Hispanics are not at a greater risk for developing this deficiency.
-Which are examples of malabsorption disorders? - -Celiac disease
Short bowel syndrome
Correct!
Lactase deficiency
Celiac disease is a malabsorption disorder of the small intestine in which the absorption of
nutrients is impaired. In lactase deficiency, a malabsorption disorder, the body is unable to
digest and metabolize lactose. Short bowel syndrome is a malabsorption disorder that
