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Pedi V-2
Pediatric Nursing HESI questions
| Question | Answer |
|---|---|
| What are the 4 characteristics of Celiac's disease? | Steatorrhea (fatty, foul, frothy, bulky stool), general malnutrition, abdominal distention, secondary vitamin deficiencies |
| Where is gluten found? | wheat, barley, rye, oat grains |
| Celiac disease is characterized by villous atrophy in ... | the small bowel in response to the protein gluten |
| What happens to those who eat gluten that have Celiac disease? | There is an accumulation of a toxic substance that is damaging to the mucosal cells |
| "Gluten free" diet means? | it is actually LOW in gluten because it is impossible to remove every source of this protein. |
| What foods can be substituted for grain foods? | Corn and rice |
| What happens to children who are untreated with celiac disease? | They may have lactose intolerance until gluten is removed from diet |
| What vitamin deficiencies do celiac children have? | iron, folic acid, fat-soluble vitamin deficiences |
| Besides wheat, barley, and rye-free diet -- what other food should celiac disease patients avoid? | Oats |
| T/F: A nurse must advise parents of the necessity of reading all label ingredients carefully to avoid hidden sources of gluten. | T |
| T/F: Sometimes children need a lactose-free diet due to severe mucosal damage | T |
| When a child has inflamed bowel due to celiac disease, what foods should they avoid until the inflammation has subsidded? | High-fiber foods: nuts, raisins, raw vegetables, raw fruits with skin |
| Nursing intervention for a child with Heart Failure (in regards to diet) | Offer small, frequent feedings to infant's or child's tolerance |
| Children with HF: Their caloric needs are _________ than those of the average infant because of their ________metabolic rate, yet their ability to take in adequate calories is hampered by their _____________. | Children with HF: Their caloric needs are HIGHER than those of the average infant because of INCREASED metabolic rate, yet their ability to take in adequate calories is hampered by their _____________. |