The nurse is caring for a child experiencing a celiac crisis. The nurse should anticipate which prescription from the primary healthcare provider (PHCP)?
The nurse is caring for a child experiencing a celiac crisis. The nurse should anticipate which prescription from the primary healthcare provider (PHCP)?
A. Tap water enema
[4%]
B. Intravenous (IV) fluids
[71%]
C. Fluid restrictions
[3%]
D. Nasogastric tube (NGT) insertion
[21%]
Statistics
Subject/Lesson
Subject
Child Health
Lesson
Gastrointestinal
Client Need
Test Plan
Physiological Adaptation
Related Topic
Illness Management
Item Type
Item Type
Application
Explanation
Choice B is correct. A celiac crisis is manifested by severe diarrhea, leading to significant dehydration and electrolyte derangements. A key intervention in managing a celiac crisis is to replete the lost fluids and correct the electrolyte imbalances.
Choice A is incorrect. Tap water enema would be contraindicated because that would facilitate an additional bowel movement. A client with a celiac crisis has diarrhea and is at risk for fluid volume deficit.
Choice C is incorrect. Diarrhea is found in a celiac crisis, and fluid restrictions would be unhelpful, if not detrimental.
Choice D is incorrect. The goal is to rehydrate the client. An NGT is not indicated for this crisis. An NGT would be inserted to decompress the stomach or give medications. This is not necessary for a client with a celiac crisis.
Additional Info
✓ A celiac crisis is a rare event that results in severe unexplained diarrhea and malabsorption. This often triggers testing for celiac disease.
✓ The key intervention in a celiac crisis is the repletion of fluids and electrolytes because severe dehydration may occur.
