M1. 1. maternity Nursing (OB Maternal & Newborn) NCLEX Practice | Quiz #4

1. 1. Question Discharge teaching for a child with celiac disease would include instructions about avoiding which of the following? o A. Rice o B. Milk o C. Wheat o D. Chicken Correct Answer: C. Wheat Children with celiac disease cannot tolerate or digest gluten. Therefore, because of its gluten content, wheat and wheat-containing products must be avoided. 2. Question Which of the following would the nurse expect to assess in a child with celiac disease having a celiac crisis secondary to an upper respiratory infection? • A. Respiratory distress • B. Lethargy • C. Watery diarrhea • D. Weight gain Correct Answer: C. Watery diarrhea Episodes of celiac crises are precipitated by infections, ingestion of gluten, prolonged fasting, or exposure to anticholinergic drugs. Celiac crisis is typically characterized by severe watery diarrhea. Celiac crisis is a rare initial presentation of CD characterized by severe diarrhea, dehydration, weight loss, hypoproteinemia, and metabolic and electrolyte disturbances. Although rare, it should be considered in patients with apparently unexplained chronic diarrhea. 3. Question Which of the following should the nurse do first after noting that a child with Hirschsprung disease has a fever and watery explosive diarrhea? • A. Notify the physician immediately. • B. Administer antidiarrheal medications. • C. Monitor child every 30 minutes. • D. Nothing, this is characteristic of Hirschsprung disease. Correct Answer: A. Notify the physician immediately. For the child with Hirschsprung disease, fever and explosive diarrhea indicate enterocolitis, a life-threatening situation. Therefore, the physician should be notified immediately.