Pediatric Nursing HESI questions
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| What are the 4 characteristics of Celiac's disease? | Steatorrhea (fatty, foul, frothy, bulky stool), general malnutrition, abdominal distention, secondary vitamin deficiencies
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| Where is gluten found? | wheat, barley, rye, oat grains
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| Celiac disease is characterized by villous atrophy in ... | the small bowel in response to the protein gluten
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| 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
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| "Gluten free" diet means? | it is actually LOW in gluten because it is impossible to remove every source of this protein.
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| What foods can be substituted for grain foods? | Corn and rice
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| What happens to children who are untreated with celiac disease? | They may have lactose intolerance until gluten is removed from diet
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| What vitamin deficiencies do celiac children have? | iron, folic acid, fat-soluble vitamin deficiences
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| Besides wheat, barley, and rye-free diet -- what other food should celiac disease patients avoid? | Oats
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| T/F: A nurse must advise parents of the necessity of reading all label ingredients carefully to avoid hidden sources of gluten. | T
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| T/F: Sometimes children need a lactose-free diet due to severe mucosal damage | T
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| 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
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| Nursing intervention for a child with Heart Failure (in regards to diet) | Offer small, frequent feedings to infant's or child's tolerance
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| 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 _____________.
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