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The parent of a child being evaluated for cellac disease asks the nurse why it is important maka dietary changes. What is the user's best response?

The body's response to gluten causes the intestine to become more porous and hang on to more of the fat-soluble vitamins, leading to vitamin toxicity."

"The body's response to gluten causes damage to the mucosal cells in the intestines leading to absorption problems

"The body's response to consumption of anything containing gluten is to create special cells called villi, which leads to more diarrhea

"The body's response to gluten causes damage to the mucosal cells, leading to malabsorption of water and hard, constipated stools

Answer and Explanation

The Correct Answer is B

A. "The body's response to gluten causes the intestine to become more porous and hang on to more of the fat-soluble vitamins, leading to vitamin toxicity." This answer is not accurate. The issue in celiac disease is malabsorption, not vitamin toxicity.

B. "The body's response to gluten causes damage to the mucosal cells in the intestines leading to absorption problems."

Celiac disease is an autoimmune disorder in which the ingestion of gluten (a protein found in wheat, barley, and rye) leads to damage of the mucosal cells in the small intestine. This damage, in turn, can lead to malabsorption of essential nutrients, including vitamins, minerals, and other important components of the diet. It is important for individuals with celiac disease to avoid gluten-containing foods to prevent ongoing damage to the intestinal mucosa and improve nutrient absorption.

C. "The body's response to consumption of anything containing gluten is to create special cells called villi, which leads to more diarrhea." This statement is not accurate. Celiac disease leads to damage to the villi (finger-like projections) in the small intestine, not the creation of special cells. It can lead to diarrhea but is not the primary cause.

D. "The body's response to gluten causes damage to the mucosal cells, leading to malabsorption of water and hard, constipated stools." This response is not accurate. Celiac disease is more commonly associated with diarrhea and malabsorption, not constipation and malabsorption of water.

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Correct Answer is C

Explanation

A. Inspecting the mouth weekly for ulcerations is not sufficient. Children receiving chemotherapy should be encouraged to perform daily oral care, and any concerning symptoms should be reported promptly to the healthcare provider.

B. Using a potent commercial mouthwash is not recommended, as many commercial mouthwashes contain alcohol or other potentially irritating ingredients. A healthcare provider should recommend a suitable oral rinse if needed.

C. Clean the teeth manually with a soft toothbrush.

Children receiving chemotherapy are at risk of developing mouth sores (mucositis) and other oral complications. It is essential to maintain good oral hygiene to minimize the risk of infection and reduce discomfort. Using a soft toothbrush for gentle manual cleaning is recommended, as it helps to prevent injury to the sensitive oral tissues that can occur with a hard toothbrush.

D. Visiting a dental professional only during episodes of excessive bleeding or pain is not recommended. Regular dental check-ups are important for children receiving chemotherapy to monitor and address oral health issues. Waiting for symptoms of bleeding or pain may result in a delay in addressing potential problems.

A. Insulin B. Epinephrine C. Glucagon D. Adrenocorticotropic hormone (ACTH)

Correct Answer is C

Explanation

A. Insulin is responsible for lowering blood glucose levels by promoting the uptake and storage of glucose in cells.

B. Epinephrine (adrenaline) can raise blood glucose levels in response to the "fight or flight" stress response, but it's not primarily responsible for stimulating liver glycogenolysis.

C. Glucagon is produced by the alpha cells in the islets of Langerhans and plays a crucial role in increasing blood glucose levels. It promotes the breakdown of glycogen (glycogenolysis) in the liver and the production of glucose from non-carbohydrate sources (gluconeogenesis).

D. Adrenocorticotropic hormone (ACTH) is produced by the anterior pituitary gland and stimulates the adrenal cortex to release cortisol, which can also contribute to raising blood glucose levels but isn't primarily responsible for liver glycogenolysis.

In the context of diabetes management, understanding the role of glucagon is important because it helps individuals know how to manage hypoglycemia (low blood sugar) by administering glucagon or consuming fast-acting sources of glucose.

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The parent of a child being evaluated for cellac disease asks the nurse why it is important maka dietary changes. What is the user's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse would include in a teaching plan about mouth care for a child receiving chemotherapy to:

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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