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    Ati rn paediatrics nursing 2023 proctored exam

    A nurse is caring for a preschooler who has a new diagnosis of celiac disease. Which of the following findings should the nurse expect?

    Explanation & Rationale

    A. Hematemesis: Vomiting blood is not a typical finding in celiac disease; it usually indicates gastrointestinal bleeding from other causes such as ulcers or esophageal varices. Celiac disease primarily affects nutrient absorption rather than causing direct bleeding. B. Redcurrant, jelly-like stools: This type of stool is characteristic of intussusception, a condition where part of the intestine telescopes into itself causing obstruction and bleeding. It is unrelated to the malabsorption seen in celiac disease. C. Increased hemoglobin level: Celiac disease commonly causes malabsorption leading to iron deficiency anemia, which results in decreased hemoglobin levels. An increased hemoglobin level would not be expected because nutrient deficiencies impair red blood cell production. D. Pale, oily stools: Steatorrhea, characterized by pale, bulky, and oily stools, occurs due to fat malabsorption in celiac disease. This reflects damage to the intestinal villi by gluten, which impairs digestion and absorption of fats and other nutrients. It is one of the hallmark clinical features of celiac disease.

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