the nurse is preparing to admit a 6 year old child with celiac disease what clinical manifestations should the nurse expect to observe
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Nursing Elites

ATI RN

ATI Nursing Care of Children 2019 B

1. The nurse is preparing to admit a 6-year-old child with celiac disease. What clinical manifestations should the nurse expect to observe?

Correct answer: B

Rationale: Celiac disease often presents with steatorrhea, malnutrition, and foul-smelling stools due to the malabsorption of nutrients. Therefore, all the manifestations listed (steatorrhea, malnutrition, foul-smelling stools) are expected in a child with celiac disease. Polycythemia is not associated with celiac disease, making choice B the correct answer.

2. What is known as providing families with information on normal growth and development and nurturing child-rearing practices before the child enters that stage of development?

Correct answer: D

Rationale: Anticipatory guidance is the process of providing parents with information about expected developmental milestones and how to address common issues that may arise during different stages of their child's growth. This proactive approach helps parents prepare for and support their child's development. Holistic nursing (choice A) refers to a comprehensive and integrated approach to healthcare that considers the whole person. Evidence-based practice (choice B) involves making clinical decisions based on the best available evidence. Morbidity (choice C) refers to the prevalence of a disease in a population.

3. When assessing a preschooler's chest, what should the nurse expect?

Correct answer: D

Rationale: In a preschooler, chest movement should be symmetric and coordinated with breathing, indicating healthy respiratory function.

4. What is the most effective method to prevent infection in the newborn?

Correct answer: B

Rationale: The most effective method to prevent infection in newborns is by practicing proper hand hygiene by staff and family. This is crucial as it helps reduce the transmission of infectious agents, protecting vulnerable newborns. Using disposable items may help, but proper hand hygiene is more effective. Administering prophylactic antibiotics without a specific indication can lead to antibiotic resistance and is not recommended. Isolating the newborn from others is not practical and may not be necessary if proper hand hygiene is maintained.

5. A Hispanic toddler has pneumonia. The nurse notices that the parent consistently feeds the child only the broth that comes on the clear liquid tray. Food items, such as Jell-O, Popsicles, and juices, are left. Which statement best explains this?

Correct answer: C

Rationale: In Hispanic culture, the balance between hot and cold is important, and the parent may be giving the child broth to restore this balance while avoiding "cold" foods.

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