A nurse is collecting data from a school-age child who has celiac disease. Which of the following findings should the nurse expect? (Select all that apply.)

Polyuria

Abdominal distension

Large pale-colored stools

Irritability

Anorexia

Answer and Explanation

Correct Answer : B,C,D,E

A. Polyuria is incorrect. Celiac disease primarily affects the gastrointestinal system, leading to malabsorption and diarrhea rather than excessive urination (polyuria).

B. Abdominal distension is correct. Children with celiac disease often experience bloating and abdominal distension due to inflammation and malabsorption in the intestines.

C. Large pale-colored stools is correct. Malabsorption of fats in celiac disease can cause steatorrhea, leading to bulky, foul-smelling, pale-colored stools.

D. Irritability is correct. Children with celiac disease may become irritable due to discomfort, nutrient deficiencies, and the impact of the disease on overall well-being.

E. Anorexia is correct. A lack of appetite (anorexiA. is common in celiac disease due to gastrointestinal discomfort and malabsorption.

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Correct Answer is C

Explanation

A. Sitting the child in an upright position is not the best method for administering otic medications in a toddler. The preferred position is having the child lie on their side with the affected ear facing up to allow proper administration and absorption of the medication.

B. For children under 3 years old, the nurse or parent should pull the pinna downward and back, not upward, to straighten the ear canal for proper medication administration. Pulling upward is appropriate for children older than 3 years.

C. Allowing the otic medication to reach room temperature before administration is essential to prevent discomfort such as dizziness or nausea, which can occur if cold drops are introduced into the ear.

D. After administration, the child should remain in a side-lying position with the affected ear facing up, not down, for a few minutes to allow the medication to properly enter the ear canal. Placing the affected ear down may cause the medication to leak out.

A. Administer the formula immediately after removing it from the refrigerator. B. Administer the feeding at a rate of 3 mL/min. C. Elevate the head of the bed to a 45-degree angle. D. Discard residual fluid aspirated from the stomach prior to the feeding.

Correct Answer is C

Explanation

A. Administering cold formula directly from the refrigerator can cause gastric discomfort and cramping. Formula should be warmed to room temperature before administration.

B. Administering the feeding at a rate of 3 mL/min is too slow for a preschooler. The appropriate rate should be determined based on the child’s tolerance and provider instructions. Continuous feedings are usually given via a pump, while bolus feedings are given over 15–30 minutes.

C. Elevating the head of the bed to a 45-degree angle is the correct action because it helps prevent aspiration and promotes proper digestion. Keeping the child in an upright position during and after the feeding is essential for safety.

D. Discarding residual fluid aspirated from the stomach prior to the feeding is incorrect. Gastric residual volume (GRV) should be measured, but unless it is excessive (per facility protocol), it is usually returned to prevent loss of electrolytes and digestive enzymes.

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A nurse is collecting data from a school-age child who has celiac disease. Which of the following findings should the nurse expect? (Select all that apply.)

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