a nurse is assessing a client who has a new diagnosis of celiac disease which of the following clinical manifestations should the nurse expect
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Nursing Elites

ATI RN

ATI Pediatric Proctored Exam

1. A client has a new diagnosis of celiac disease. Which of the following clinical manifestations should the nurse expect?

Correct answer: A

Rationale: Celiac disease is a condition where individuals are unable to digest gluten, leading to damage in the bowel cells and subsequent malabsorption. This malabsorption commonly presents with symptoms such as steatorrhea, which is characterized by foul-smelling, greasy, and bulky stools due to high fat content. Projectile vomiting and sunken abdomen are not typical manifestations of celiac disease. Weight gain is unlikely in individuals with celiac disease due to malabsorption and nutrient deficiencies. Therefore, the nurse should expect steatorrhea as a clinical manifestation in clients with celiac disease.

2. Which strategy is most likely to promote positive behavior in children?

Correct answer: C

Rationale: Improving the child's competence and creating a positive environment is the most effective strategy to promote positive behavior in children. This approach focuses on enhancing the child's skills and abilities while fostering a supportive and encouraging atmosphere. By empowering the child and surrounding them with positivity, they are more likely to exhibit positive behaviors as they feel competent, valued, and motivated. This strategy emphasizes support and reinforcement over punitive measures, leading to long-lasting behavioral improvements.

3. What is the recommended sleep duration for 14-17-year-olds?

Correct answer: B

Rationale: The recommended sleep duration for adolescents aged 14-17 is 8-10 hours to promote optimal health. Getting enough sleep is crucial for their physical and mental well-being, as it supports growth, development, learning, and overall health.

4. When preparing an adolescent for a lumbar puncture, which of the following actions should the nurse take?

Correct answer: B

Rationale: The correct action for the nurse when preparing an adolescent for a lumbar puncture is to apply topical analgesic cream to the site one hour before the procedure. This helps reduce pain experienced during the lumbar puncture, making the procedure more comfortable for the adolescent. Placing a cardiac monitor on the adolescent is not necessary for a lumbar puncture. Keeping the adolescent in a semi-Fowler's position for 4 hours following the procedure is not a standard practice after a lumbar puncture. Restricting fluids for 2 hours following the procedure is not a requirement for a lumbar puncture preparation.

5. A nurse is teaching a group of parents about preventing childhood obesity. Which of the following instructions should the nurse include?

Correct answer: D

Rationale: The nurse should instruct parents to limit their child�s TV watching to 1 to 2 hours per day to prevent childhood obesity.

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