During the assessment of a pediatric client with celiac disease, the nurse would most likely note which physical finding?

Tender inguinal lymph nodes

Enlarged liver

Protuberant abdomen

Periorbital edema

Answer and Explanation

The Correct Answer is C

A. Tender inguinal lymph nodes are not associated with celiac disease and are more indicative of localized infections or lymphadenopathy.

B. An enlarged liver is not typically related to celiac disease but may occur in other conditions such as fatty liver disease.

C. A protuberant abdomen is a common finding in children with celiac disease due to malabsorption and gas accumulation in the intestines. This is often accompanied by abdominal distension and discomfort.

D. Periorbital edema is not characteristic of celiac disease and is more commonly seen in conditions like nephrotic syndrome.

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Correct Answer is B

Explanation

A. Intravenous fluids are generally not required if the child is alert and active with mild dehydration; oral rehydration is usually sufficient.

B. Oral rehydration solutions are appropriate for treating mild dehydration and should be given in small amounts frequently.

C. Chicken broth is not ideal for replacing electrolytes because it is low in electrolytes and high in sodium. Oral rehydration solutions are preferred.

D. A depressed soft spot (fontanel) is a sign of severe dehydration in infants. For a 4-year-old, signs of dehydration would include changes in urine output, thirst, or dry mucous membranes rather than a depressed fontanel.

A. Ask other Asians to explain their culture. B. Hire an interpreter to explain the family culture. C. Just ask the family about their culture and listen. D. Research the culture and base care on findings.

Correct Answer is C

Explanation

A. Assuming all Asians have the same culture is a generalization and may not accurately represent the specific cultural background of the family in question.

B. Hiring an interpreter may be helpful for language translation but may not provide insights into the nuances of the family's cultural beliefs and practices.

C. Directly engaging with the family and listening to their perspectives allows for a better understanding of their specific cultural beliefs and preferences.

D. While research can provide valuable information, direct communication with the family is essential for truly understanding their cultural needs and preferences.

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During the assessment of a pediatric client with celiac disease, the nurse would most likely note which physical finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A clinic nurse is caring for a 4-year-old client with acute diarrhea and mild dehydration who is afebrile, active, and alert. The nurse is providing instructions to the parent. Which statement by the parent indicates understanding?

Correct Answer is B

Explanation

The nurse is performing a cultural assessment of an Asian family that has a child hospitalized for leukemia. What is the best technique for providing culturally competent care for this family?

Correct Answer is C

Explanation

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