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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

Option A is incorrect because Tanner staging is not solely based on developmental achievement according to age. It assesses physical development irrespective of age.

Option B is incorrect because it is not based on the color of pigmentation on the scrotum but rather on multiple physical characteristics.

Option C. Based on the development of pubic hair in girls.

The Tanner staging system, also known as sexual maturity rating or sexual maturity scale, is a system used to assess the sexual development of children and adolescents based on physical characteristics, primarily focusing on secondary sexual characteristics. It is used to assess the stage of puberty in both boys and girls. In the case of girls, it includes the development of pubic hair, breast development, and other changes like the growth of the areola.

Option D is incorrect because it doesn't solely focus on staged voice changes in males. The Tanner staging system includes a range of characteristics, including voice changes, genital development, and pubic hair growth, to assess sexual maturity in both males and females.

A. Considering the presence of diabetes but treating the child the same as the other children B. Limiting fluid intake during school hours C. Asking the child each day what was eaten for breakfast D. Checking several times a day for injuries because of participation in the physical education program

Correct Answer is C

Explanation

Option A ("Considering the presence of diabetes but treating the child the same as the other children") is not the best approach because children with diabetes require individualized care and monitoring.

Option B ("Limiting fluid intake during school hours") is not an appropriate intervention and could potentially worsen the child's diabetes management. Hydration is important, and fluid intake should be based on the child's needs.

Option C. Asking the child each day what was eaten for breakfast.

Children with type 1 diabetes, especially those prone to morning hypoglycemic episodes, can benefit from close monitoring of their dietary choices and blood glucose levels. Asking the child what was eaten for breakfast allows the school nurse to assess whether the child had an appropriate meal and whether the insulin dosage may need adjustment. It helps identify potential factors contributing to hypoglycemia and provides valuable information for the child's diabetes management.

Option D ("Checking several times a day for injuries because of participation in the physical education program") is a good practice but does not specifically address the management of morning hypoglycemia. It is essential to monitor the child's safety during physical activities, but addressing breakfast choices and insulin management is more directly related to managing morning hypoglycemia.

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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?

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The nurse is aware that the Tanner staging system for sexual maturity is:

Correct Answer is C

Explanation

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Correct Answer is C

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