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1. Question
A 14-year-old client has been diagnosed with celiac disease after a long history of diarrhea, anemia, and weight loss. What type of diet does the nurse anticipate the client will require?
Correct
Option D is the correct answer:
Rationale: If a 14-year-old client has been diagnosed with celiac disease after a long history of diarrhea, anemia, and weight loss, the client will require a gluten-free diet. Celiac disease is an autoimmune disorder in which products containing gluten (grains, such as wheat, rye, barley) trigger damage to the intestinal mucosa. Some clients exhibit an itching vesicular rash (dermatitis herpetiformis) on the buttocks, scalp, face, elbows, and knees. Because the damaged intestinal mucosa cannot adequately absorb nutrients, anemia, osteoporosis, muscle wasting, weight loss, and malnutrition are common.
Incorrect
Option D is the correct answer:
Rationale: If a 14-year-old client has been diagnosed with celiac disease after a long history of diarrhea, anemia, and weight loss, the client will require a gluten-free diet. Celiac disease is an autoimmune disorder in which products containing gluten (grains, such as wheat, rye, barley) trigger damage to the intestinal mucosa. Some clients exhibit an itching vesicular rash (dermatitis herpetiformis) on the buttocks, scalp, face, elbows, and knees. Because the damaged intestinal mucosa cannot adequately absorb nutrients, anemia, osteoporosis, muscle wasting, weight loss, and malnutrition are common.
Celiac Disease
Description
Celiac disease is also known as gluten enteropathy or celiac sprue.
Intolerance to gluten, the protein component of wheat, barley, rye, and oats, is characteristic.
Celiac disease results in the accumulation of the amino acid glutamine, which is toxic to intestinal mucosal cells.
Intestinal villous atrophy occurs, which affects absorption of ingested nutrients.
Symptoms of the disorder occur most often between the ages of 1 and 5 years.
There is usually an interval of 3 to 6 months between the introduction of gluten in the diet and the onset of symptoms.
Strict dietary avoidance of gluten minimizes the risk of developing malignant lymphoma of the small intestine and other gastrointestinal malignancies.
