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    Ati Rn Paediatrics Nursing 2023 Proctored Exam

    A nurse is performing an assessment for a 5-year-old child who has 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. Celiac disease primarily affects the small intestine’s ability to absorb nutrients rather than causing gastrointestinal bleeding. B. Malnutrition: Malnutrition is a common finding in children with celiac disease due to malabsorption of essential nutrients. This can manifest as poor growth, weight loss, fatigue, and deficiencies in vitamins and minerals, reflecting the chronic impact of gluten-induced intestinal damage. C. Red currant jelly-like stools: This type of stool is characteristic of intussusception, not celiac disease. It indicates intestinal obstruction and is unrelated to the chronic malabsorption seen in celiac disease. D. Sausage-shaped mass in the upper right abdomen: A palpable sausage-shaped mass is typically associated with intussusception rather than celiac disease. Celiac disease does not usually cause palpable abdominal masses, but may present with a distended abdomen due to bloating or fluid accumulation.

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