Question 1

During an interview with a client diagnosed with hepatitis B,the nurse obtains the following data: 10 kg weight loss is noted from the client's last visit 4 months ago; review of systems reveals 1)limiting fatigue,2)not well enough for sexual intercourse but doubts if her husband will be willing to use a condom,3)drinks 3-5 mixed drinks weekly socially,4)RUQ pain rated at 6/10,and 5)"constant" pruritus.Prioritize the nursing diagnoses formulated for this client.
A) Imbalanced Nutrition
B) Impaired Skin Integrity
C) Acute Pain
D) Deficient Knowledge

Accepted Answer

C,D,A,B
Explanation: A) Relieving the pain associated with hepatitis and preventing the spread of infection are priorities of hepatitis management. Interventions related to knowledge deficit will address the potential for spread of the infection to the client's husband, use of alcohol, imbalanced nutrition, and impaired skin integrity.
B) Relieving the pain associated with hepatitis and preventing the spread of infection are priorities of hepatitis management. Interventions related to knowledge deficit will address the potential for spread of the infection to the client's husband, use of alcohol, imbalanced nutrition, and impaired skin integrity.
C) Relieving the pain associated with hepatitis and preventing the spread of infection are priorities of hepatitis management. Interventions related to knowledge deficit will address the potential for spread of the infection to the client's husband, use of alcohol, imbalanced nutrition, and impaired skin integrity.
D) Relieving the pain associated with hepatitis and preventing the spread of infection are priorities of hepatitis management. Interventions related to knowledge deficit will address the potential for spread of the infection to the client's husband, use of alcohol, imbalanced nutrition, and impaired skin integrity.

Question 2

The nurse is providing care for several clients on a medical-surgical unit.The nurse anticipates that the client with which condition may require surgery?

Accepted Answer

A) Pyloric stenosis ultimately requires surgery to split the pyloric muscle to allow passage of food and fluid. Hepatitis, pancreatitis, and fecal impaction are medically treated.
B) Pyloric stenosis ultimately requires surgery to split the pyloric muscle to allow passage of food and fluid. Hepatitis, pancreatitis, and fecal impaction are medically treated.
C) Pyloric stenosis ultimately requires surgery to split the pyloric muscle to allow passage of food and fluid. Hepatitis, pancreatitis, and fecal impaction are medically treated.
D) Pyloric stenosis ultimately requires surgery to split the pyloric muscle to allow passage of food and fluid. Hepatitis, pancreatitis, and fecal impaction are medically treated.

Question 3

A client presents with delayed wound healing.During the physical assessment,which nutrient deficiency does the nurse anticipate based on the data?

Accepted Answer

A) The vomiting center in the medulla of the brain may be affected by the vestibular system of the ear, acute myocardial infarction, pregnancy, and increased intracranial pressure. An asthma exacerbation is least likely to cause severe nausea and vomiting.
B) The vomiting center in the medulla of the brain may be affected by the vestibular system of the ear, acute myocardial infarction, pregnancy, and increased intracranial pressure. An asthma exacerbation is least likely to cause severe nausea and vomiting.
C) The vomiting center in the medulla of the brain may be affected by the vestibular system of the ear, acute myocardial infarction, pregnancy, and increased intracranial pressure. An asthma exacerbation is least likely to cause severe nausea and vomiting.
D) The vomiting center in the medulla of the brain may be affected by the vestibular system of the ear, acute myocardial infarction, pregnancy, and increased intracranial pressure. An asthma exacerbation is least likely to cause severe nausea and vomiting.
E) The vomiting center in the medulla of the brain may be affected by the vestibular system of the ear, acute myocardial infarction, pregnancy, and increased intracranial pressure. An asthma exacerbation is least likely to cause severe nausea and vomiting.

Question 4

When planning care for a client with chronic hepatitis,which collaborative discipline will be most helpful in treating continued alcohol use?

Accepted Answer

A) The social worker is an expert at identifying additional resources for treatment of substance abuse. The primary provider, pharmacist, and dietitian will all contribute to the plan of care.
B) The social worker is an expert at identifying additional resources for treatment of substance abuse. The primary provider, pharmacist, and dietitian will all contribute to the plan of care.
C) The social worker is an expert at identifying additional resources for treatment of substance abuse. The primary provider, pharmacist, and dietitian will all contribute to the plan of care.
D) The social worker is an expert at identifying additional resources for treatment of substance abuse. The primary provider, pharmacist, and dietitian will all contribute to the plan of care.

Question 5

The nurse is considering nutritional support for a client experiencing severe side effects of chemotherapy.Which independent and collaborative interventions will best limit the adverse digestive and nutritional effects of chemotherapy?

Accepted Answer

A) Alternative therapy including music therapy has been used for nausea and vomiting. Ondansetron is a serotonin receptor agonist used commonly and an antiemetic. Clients should be positioned with the HOB elevated 30 degrees during enteral nutrition feedings. Enteral nutrition and TPN are used concurrently. Nausea is worsened by drinking fluid within 1 hour of meals.
B) Alternative therapy including music therapy has been used for nausea and vomiting. Ondansetron is a serotonin receptor agonist used commonly and an antiemetic. Clients should be positioned with the HOB elevated 30 degrees during enteral nutrition feedings. Enteral nutrition and TPN are used concurrently. Nausea is worsened by drinking fluid within 1 hour of meals.
C) Alternative therapy including music therapy has been used for nausea and vomiting. Ondansetron is a serotonin receptor agonist used commonly and an antiemetic. Clients should be positioned with the HOB elevated 30 degrees during enteral nutrition feedings. Enteral nutrition and TPN are used concurrently. Nausea is worsened by drinking fluid within 1 hour of meals.
D) Alternative therapy including music therapy has been used for nausea and vomiting. Ondansetron is a serotonin receptor agonist used commonly and an antiemetic. Clients should be positioned with the HOB elevated 30 degrees during enteral nutrition feedings. Enteral nutrition and TPN are used concurrently. Nausea is worsened by drinking fluid within 1 hour of meals.

Question 6

The nurse has implemented a care plan for an adult client with gastroesophegeal reflux disorder (GERD).On the next clinic visit,which statement by the client indicates adherence to the plan of care?

Accepted Answer

A) Appropriate client outcomes are freedom from pain and knowledge of lifestyle changes to manage GERD. Weight loss, small, frequent meals, and avoiding lying down within 3 hours of eating indicate correct management. Although the client knows tight-fitting spandex camisoles can worsen GERD, she is not willing to stop wearing them. Changing from margaritas to wine will not improve GERD. Antacids like TUMS should be avoided within 1 hour before or after an H2-receptor blocker like ranitidine.
B) Appropriate client outcomes are freedom from pain and knowledge of lifestyle changes to manage GERD. Weight loss, small, frequent meals, and avoiding lying down within 3 hours of eating indicate correct management. Although the client knows tight-fitting spandex camisoles can worsen GERD, she is not willing to stop wearing them. Changing from margaritas to wine will not improve GERD. Antacids like TUMS should be avoided within 1 hour before or after an H2-receptor blocker like ranitidine.
C) Appropriate client outcomes are freedom from pain and knowledge of lifestyle changes to manage GERD. Weight loss, small, frequent meals, and avoiding lying down within 3 hours of eating indicate correct management. Although the client knows tight-fitting spandex camisoles can worsen GERD, she is not willing to stop wearing them. Changing from margaritas to wine will not improve GERD. Antacids like TUMS should be avoided within 1 hour before or after an H2-receptor blocker like ranitidine.
D) Appropriate client outcomes are freedom from pain and knowledge of lifestyle changes to manage GERD. Weight loss, small, frequent meals, and avoiding lying down within 3 hours of eating indicate correct management. Although the client knows tight-fitting spandex camisoles can worsen GERD, she is not willing to stop wearing them. Changing from margaritas to wine will not improve GERD. Antacids like TUMS should be avoided within 1 hour before or after an H2-receptor blocker like ranitidine.

Question 7

A client presents at the emergency department reporting a burning pain in the chest of a 7 on a 0 to 10 pain scale.Gastroesphogeal reflux disorder (GERD)secondary to hiatal hernia is diagnosed.Based on this data,which is the priority nursing diagnosis?

Accepted Answer

A) Acute pain management is the priority of nursing care. Anxiety may be decreased by relieving pain. Dysfunctional gastrointestinal motility and ineffective health maintenance are less urgent.
B) Acute pain management is the priority of nursing care. Anxiety may be decreased by relieving pain. Dysfunctional gastrointestinal motility and ineffective health maintenance are less urgent.
C) Acute pain management is the priority of nursing care. Anxiety may be decreased by relieving pain. Dysfunctional gastrointestinal motility and ineffective health maintenance are less urgent.
D) Acute pain management is the priority of nursing care. Anxiety may be decreased by relieving pain. Dysfunctional gastrointestinal motility and ineffective health maintenance are less urgent.

Question 8

What statement made by the client would indicate understanding of discharge teaching for self-care after hospitalization for acute pancreatitis?

Accepted Answer

A) Alcohol increases the risk of pancreatitis. Antibiotics are used to prevent pyloric stenosis. Onions, caffeine, and spices increase the risk of GERD. Immunizations can prevent specific types of hepatitis.
B) Alcohol increases the risk of pancreatitis. Antibiotics are used to prevent pyloric stenosis. Onions, caffeine, and spices increase the risk of GERD. Immunizations can prevent specific types of hepatitis.
C) Alcohol increases the risk of pancreatitis. Antibiotics are used to prevent pyloric stenosis. Onions, caffeine, and spices increase the risk of GERD. Immunizations can prevent specific types of hepatitis.
D) Alcohol increases the risk of pancreatitis. Antibiotics are used to prevent pyloric stenosis. Onions, caffeine, and spices increase the risk of GERD. Immunizations can prevent specific types of hepatitis.

Question 9

The multidisciplinary care team is meeting to discuss care for a client who exhibits symptoms of the prodromal phase of hepatitis.Lab results include a positive anti-HAV IgM.The nurse creates an action plan to present to the team.Which interventions are appropriate? Select all that apply.

Accepted Answer

A) Patient education on acceptable pain medication is necessary due to the toxic effect of common over-the-counter pain medicine. Family teaching is appropriate to avoid transmission. Most clients recover from acute viral hepatitis without pharmacologic treatment and certainly without liver transplant. A low-fat, high-calorie diet is recommended.
B) Patient education on acceptable pain medication is necessary due to the toxic effect of common over-the-counter pain medicine. Family teaching is appropriate to avoid transmission. Most clients recover from acute viral hepatitis without pharmacologic treatment and certainly without liver transplant. A low-fat, high-calorie diet is recommended.
C) Patient education on acceptable pain medication is necessary due to the toxic effect of common over-the-counter pain medicine. Family teaching is appropriate to avoid transmission. Most clients recover from acute viral hepatitis without pharmacologic treatment and certainly without liver transplant. A low-fat, high-calorie diet is recommended.
D) Patient education on acceptable pain medication is necessary due to the toxic effect of common over-the-counter pain medicine. Family teaching is appropriate to avoid transmission. Most clients recover from acute viral hepatitis without pharmacologic treatment and certainly without liver transplant. A low-fat, high-calorie diet is recommended.
E) Patient education on acceptable pain medication is necessary due to the toxic effect of common over-the-counter pain medicine. Family teaching is appropriate to avoid transmission. Most clients recover from acute viral hepatitis without pharmacologic treatment and certainly without liver transplant. A low-fat, high-calorie diet is recommended.

Question 10

A client is diagnosed with viral hepatitis transmitted by the fecal-oral route.Which conditions may be acquired by this mode of transmission?

Accepted Answer

A) Obtaining postexposure prophylaxis treatment will best help the client's parents from acquiring HBV. The HBV vaccine is started concurrently. HBV is not spread in water. Alcohol abuse is implicated in non-viral hepatitis. Donating blood will not increase the risk of acquiring HBV.
B) Obtaining postexposure prophylaxis treatment will best help the client's parents from acquiring HBV. The HBV vaccine is started concurrently. HBV is not spread in water. Alcohol abuse is implicated in non-viral hepatitis. Donating blood will not increase the risk of acquiring HBV.
C) Obtaining postexposure prophylaxis treatment will best help the client's parents from acquiring HBV. The HBV vaccine is started concurrently. HBV is not spread in water. Alcohol abuse is implicated in non-viral hepatitis. Donating blood will not increase the risk of acquiring HBV.
D) Obtaining postexposure prophylaxis treatment will best help the client's parents from acquiring HBV. The HBV vaccine is started concurrently. HBV is not spread in water. Alcohol abuse is implicated in non-viral hepatitis. Donating blood will not increase the risk of acquiring HBV.

Question 11

A client is scheduled for a diagnostic test to determine digestion status.Which test does not require fasting or other preparation?

Accepted Answer

A) An amylase test does not require any special preparation. A barium swallow, endoscopy, and a lipid panel require fasting.
B) An amylase test does not require any special preparation. A barium swallow, endoscopy, and a lipid panel require fasting.
C) An amylase test does not require any special preparation. A barium swallow, endoscopy, and a lipid panel require fasting.
D) An amylase test does not require any special preparation. A barium swallow, endoscopy, and a lipid panel require fasting.

Question 12

A client is with a history of gastroesophageal reflux disorder (GERD)presents with metabolic alkalosis.Based on the data reviewed in the client's history,which medication does the nurse suspect contributed to the current diagnosis?

Accepted Answer

A) Aluminum hydroxide antacids neutralize gastric acid. Overuse of antacids may cause metabolic acidosis. Omeprazole, ranitidine, and metoclopramide are all GERD medications that do not cause metabolic alkalosis.
B) Aluminum hydroxide antacids neutralize gastric acid. Overuse of antacids may cause metabolic acidosis. Omeprazole, ranitidine, and metoclopramide are all GERD medications that do not cause metabolic alkalosis.
C) Aluminum hydroxide antacids neutralize gastric acid. Overuse of antacids may cause metabolic acidosis. Omeprazole, ranitidine, and metoclopramide are all GERD medications that do not cause metabolic alkalosis.
D) Aluminum hydroxide antacids neutralize gastric acid. Overuse of antacids may cause metabolic acidosis. Omeprazole, ranitidine, and metoclopramide are all GERD medications that do not cause metabolic alkalosis.

Question 13

The nurse is explaining the alteration in normal function to a client recently diagnosed with gastrointestinal reflux disease (GERD).Which etiology contributing to GERD will the nurse include in the teaching session?

Accepted Answer

A) Positioning the infant upright for 30 minutes after a feeding can reduce GERD symptoms. Infants with GERD should be burped after every 1-2 ounces of formula are taken. Pre-thickened formulas can also reduce GERD symptoms. Warming the formula does not impact GERD symptoms.
B) Positioning the infant upright for 30 minutes after a feeding can reduce GERD symptoms. Infants with GERD should be burped after every 1-2 ounces of formula are taken. Pre-thickened formulas can also reduce GERD symptoms. Warming the formula does not impact GERD symptoms.
C) Positioning the infant upright for 30 minutes after a feeding can reduce GERD symptoms. Infants with GERD should be burped after every 1-2 ounces of formula are taken. Pre-thickened formulas can also reduce GERD symptoms. Warming the formula does not impact GERD symptoms.
D) Positioning the infant upright for 30 minutes after a feeding can reduce GERD symptoms. Infants with GERD should be burped after every 1-2 ounces of formula are taken. Pre-thickened formulas can also reduce GERD symptoms. Warming the formula does not impact GERD symptoms.

Question 14

The nurse is providing care to a client diagnosed with celiac disease who experiences frequent diarrhea.Based on this data,the nurse anticipates the client may also experience which associated problems? Select all that apply.

Accepted Answer

A) Clients with diarrhea may have perianal skin irritation and skin breakdown. Diarrhea disturbs the fluid and electrolyte balance and can disrupt normal life activities. There is no known direct connection between diarrhea and hair loss or sexual dysfunction.
B) Clients with diarrhea may have perianal skin irritation and skin breakdown. Diarrhea disturbs the fluid and electrolyte balance and can disrupt normal life activities. There is no known direct connection between diarrhea and hair loss or sexual dysfunction.
C) Clients with diarrhea may have perianal skin irritation and skin breakdown. Diarrhea disturbs the fluid and electrolyte balance and can disrupt normal life activities. There is no known direct connection between diarrhea and hair loss or sexual dysfunction.
D) Clients with diarrhea may have perianal skin irritation and skin breakdown. Diarrhea disturbs the fluid and electrolyte balance and can disrupt normal life activities. There is no known direct connection between diarrhea and hair loss or sexual dysfunction.
E) Clients with diarrhea may have perianal skin irritation and skin breakdown. Diarrhea disturbs the fluid and electrolyte balance and can disrupt normal life activities. There is no known direct connection between diarrhea and hair loss or sexual dysfunction.

Question 15

An older adult African-American client with a history of celiac disease presents with abdominal cramps,pain,and diarrhea.The client denies the use alcohol,but states,"my favorite foods are steak,cheese,and ice cream." Based on this data,which condition does the nurse suspect?

Accepted Answer

A) The most common risk factor for pancreatitis is alcohol abuse. Appendicitis usually involves loss of appetite and nausea and/or vomiting soon after abdominal pain begins. Lactose intolerance is more common in Native Americans, Asians, Hispanics, and African-Americans and in those with a history of celiac disease. Food poisoning generally causes some nausea and vomiting.
B) The most common risk factor for pancreatitis is alcohol abuse. Appendicitis usually involves loss of appetite and nausea and/or vomiting soon after abdominal pain begins. Lactose intolerance is more common in Native Americans, Asians, Hispanics, and African-Americans and in those with a history of celiac disease. Food poisoning generally causes some nausea and vomiting.
C) The most common risk factor for pancreatitis is alcohol abuse. Appendicitis usually involves loss of appetite and nausea and/or vomiting soon after abdominal pain begins. Lactose intolerance is more common in Native Americans, Asians, Hispanics, and African-Americans and in those with a history of celiac disease. Food poisoning generally causes some nausea and vomiting.
D) The most common risk factor for pancreatitis is alcohol abuse. Appendicitis usually involves loss of appetite and nausea and/or vomiting soon after abdominal pain begins. Lactose intolerance is more common in Native Americans, Asians, Hispanics, and African-Americans and in those with a history of celiac disease. Food poisoning generally causes some nausea and vomiting.

Question 16

An adult client with a BMI of 39 who smokes 1 pack of cigarettes per day is admitted to the hospital with chest pressure.After myocardial infarction is ruled out,the client is diagnosed with erosive esophagitis through upper GI endoscopy.The client is now refusing all medications and states "I'm not getting hooked on any pills." What would the nurse recommend for the multidisciplinary collaborative plan? Select all that apply.

Accepted Answer

A) Weight loss and smoking cessation will improve the symptoms of GERD. Determining food types, amounts, and times of consumption can help the client avoid foods that stimulate acid production and avoid eating prior to lying down. The head of the bed should be elevated and the team should recommend this to the client rather than enlisting the client's son. A surgical consult should come from the primary provider and will not necessarily reduce the need for medication. The pharmacist should be included in the Multidisciplinary Team meeting to give input to strategies to improve the client's receptivity to medication therapy.
B) Weight loss and smoking cessation will improve the symptoms of GERD. Determining food types, amounts, and times of consumption can help the client avoid foods that stimulate acid production and avoid eating prior to lying down. The head of the bed should be elevated and the team should recommend this to the client rather than enlisting the client's son. A surgical consult should come from the primary provider and will not necessarily reduce the need for medication. The pharmacist should be included in the Multidisciplinary Team meeting to give input to strategies to improve the client's receptivity to medication therapy.
C) Weight loss and smoking cessation will improve the symptoms of GERD. Determining food types, amounts, and times of consumption can help the client avoid foods that stimulate acid production and avoid eating prior to lying down. The head of the bed should be elevated and the team should recommend this to the client rather than enlisting the client's son. A surgical consult should come from the primary provider and will not necessarily reduce the need for medication. The pharmacist should be included in the Multidisciplinary Team meeting to give input to strategies to improve the client's receptivity to medication therapy.
D) Weight loss and smoking cessation will improve the symptoms of GERD. Determining food types, amounts, and times of consumption can help the client avoid foods that stimulate acid production and avoid eating prior to lying down. The head of the bed should be elevated and the team should recommend this to the client rather than enlisting the client's son. A surgical consult should come from the primary provider and will not necessarily reduce the need for medication. The pharmacist should be included in the Multidisciplinary Team meeting to give input to strategies to improve the client's receptivity to medication therapy.
E) Weight loss and smoking cessation will improve the symptoms of GERD. Determining food types, amounts, and times of consumption can help the client avoid foods that stimulate acid production and avoid eating prior to lying down. The head of the bed should be elevated and the team should recommend this to the client rather than enlisting the client's son. A surgical consult should come from the primary provider and will not necessarily reduce the need for medication. The pharmacist should be included in the Multidisciplinary Team meeting to give input to strategies to improve the client's receptivity to medication therapy.

Question 17

A young adult waiter has been treated for viral hepatitis at a health care clinic.Which client outcome indicates the need for additional intervention? Select all that apply.

Accepted Answer

A) The client will need additional intervention if weight loss occurs and if the client has continued itching. No additional intervention is needed if hand washing is performed correctly or pain is controlled. The health department must be notified if a food service worker is diagnosed due to possible exposure of patrons.
B) The client will need additional intervention if weight loss occurs and if the client has continued itching. No additional intervention is needed if hand washing is performed correctly or pain is controlled. The health department must be notified if a food service worker is diagnosed due to possible exposure of patrons.
C) The client will need additional intervention if weight loss occurs and if the client has continued itching. No additional intervention is needed if hand washing is performed correctly or pain is controlled. The health department must be notified if a food service worker is diagnosed due to possible exposure of patrons.
D) The client will need additional intervention if weight loss occurs and if the client has continued itching. No additional intervention is needed if hand washing is performed correctly or pain is controlled. The health department must be notified if a food service worker is diagnosed due to possible exposure of patrons.
E) The client will need additional intervention if weight loss occurs and if the client has continued itching. No additional intervention is needed if hand washing is performed correctly or pain is controlled. The health department must be notified if a food service worker is diagnosed due to possible exposure of patrons.

Question 18

The nurse is assigned to a 4-month-old infant with vomiting and diarrhea who is brought to the pediatric clinic.The infant's vital signs are temperature: 37° C,apical HR: 130,R: 40/min.The abdominal assessment reveals a soft,concave abdomen,10 gurgles auscultated in 1 minute in all four quadrants,and tympani to percussion.Which collaborative care action does the nurse anticipate?

Accepted Answer

A) The assessment data for this pediatric client indicates a non-emergent alteration in digestion that requires additional interview information from the mother. Nothing in the assessment indicates a surgical emergency. A barium swallow is not indicated for diarrhea. Milk-based formulas would be avoided until symptoms subside.
B) The assessment data for this pediatric client indicates a non-emergent alteration in digestion that requires additional interview information from the mother. Nothing in the assessment indicates a surgical emergency. A barium swallow is not indicated for diarrhea. Milk-based formulas would be avoided until symptoms subside.
C) The assessment data for this pediatric client indicates a non-emergent alteration in digestion that requires additional interview information from the mother. Nothing in the assessment indicates a surgical emergency. A barium swallow is not indicated for diarrhea. Milk-based formulas would be avoided until symptoms subside.
D) The assessment data for this pediatric client indicates a non-emergent alteration in digestion that requires additional interview information from the mother. Nothing in the assessment indicates a surgical emergency. A barium swallow is not indicated for diarrhea. Milk-based formulas would be avoided until symptoms subside.

Question 19

Which intervention would best improve diet adherence of an older Hispanic immigrant recently diagnosed with gastroesophageal reflux disorder (GERD)?

Accepted Answer

A) Interviewing the client to assess his current diet will provide information to base a collaborative nutrition plan. Scheduling low-fat meal delivery to the home, giving printed diet information in Spanish, and giving a list of foods to avoid to the client's wife are not appropriate until the nurse has information on which to base a individualized culturally sensitive teaching plan.
B) Interviewing the client to assess his current diet will provide information to base a collaborative nutrition plan. Scheduling low-fat meal delivery to the home, giving printed diet information in Spanish, and giving a list of foods to avoid to the client's wife are not appropriate until the nurse has information on which to base a individualized culturally sensitive teaching plan.
C) Interviewing the client to assess his current diet will provide information to base a collaborative nutrition plan. Scheduling low-fat meal delivery to the home, giving printed diet information in Spanish, and giving a list of foods to avoid to the client's wife are not appropriate until the nurse has information on which to base a individualized culturally sensitive teaching plan.
D) Interviewing the client to assess his current diet will provide information to base a collaborative nutrition plan. Scheduling low-fat meal delivery to the home, giving printed diet information in Spanish, and giving a list of foods to avoid to the client's wife are not appropriate until the nurse has information on which to base a individualized culturally sensitive teaching plan.

Question 20

A school nurse is providing care to a number of school-age children diagnosed with celiac disease.Which interventions are appropriate for the nurse to implement with this group of students? Select all that apply.

Accepted Answer

A) Appropriate interventions for the school nurse to implement include teaching the children with celiac disease about gluten-free, low-fat food choices. The nurse would also implement the labeling of gluten-free food choices in the school lunch program to aid the children in choosing foods to eat while at school. Food selections should be high in calories and protein. Celiac disease cannot be prevented. 
B) Appropriate interventions for the school nurse to implement include teaching the children with celiac disease about gluten-free, low-fat food choices. The nurse would also implement the labeling of gluten-free food choices in the school lunch program to aid the children in choosing foods to eat while at school. Food selections should be high in calories and protein. Celiac disease cannot be prevented. 
C) Appropriate interventions for the school nurse to implement include teaching the children with celiac disease about gluten-free, low-fat food choices. The nurse would also implement the labeling of gluten-free food choices in the school lunch program to aid the children in choosing foods to eat while at school. Food selections should be high in calories and protein. Celiac disease cannot be prevented. 
D) Appropriate interventions for the school nurse to implement include teaching the children with celiac disease about gluten-free, low-fat food choices. The nurse would also implement the labeling of gluten-free food choices in the school lunch program to aid the children in choosing foods to eat while at school. Food selections should be high in calories and protein. Celiac disease cannot be prevented. 
E) Appropriate interventions for the school nurse to implement include teaching the children with celiac disease about gluten-free, low-fat food choices. The nurse would also implement the labeling of gluten-free food choices in the school lunch program to aid the children in choosing foods to eat while at school. Food selections should be high in calories and protein. Celiac disease cannot be prevented.

Quiz 4: Digestion