The nurse is caring for a client presenting to the clinic with reports of abdominal cramping, bloating, and diarrhea after drinking milk.
The nurse suspects that the client is at the highest risk for
The nurse is caring for a client presenting to the clinic with reports of abdominal cramping, bloating, and diarrhea after drinking milk.
The nurse suspects that the client is at the highest risk for
A. pancreatitis
[6%]
B. celiac disease
[9%]
C. lactose intolerance
[79%]
D. peptic ulcer disease
[6%]
Statistics
Subject/Lesson
Subject
Nutrition
Lesson
Nutrition
Client Need
Test Plan
Basic Care and Comfort
Related Topic
Nutrition and Oral Hydration
Item Type
Item Type
Analysis
Explanation
Choice C is correct. Lactose intolerance occurs because of insufficient amounts of the enzyme lactase or the production of a less active form of the enzyme. Exposure to lactose causes a client to experience bloating, cramping, and diarrhea.
Choice A is incorrect. Pancreatitis may cause abdominal pain, vomiting, and dehydration. Pancreatitis is characterized by inflammation of the pancreas and is not typically associated with specific triggers like milk consumption.
Choice B is incorrect. Celiac disease is an autoimmune condition triggered by gluten consumption, leading to damage in the small intestine. Symptoms may include gastrointestinal issues, but they are not specific to milk consumption.
Choice D is incorrect. Peptic ulcer disease involves sores that develop on the lining of the stomach, small intestine, or esophagus. Peptic ulcer disease is typically aggravated by spicy food that causes epigastric pain without diarrhea.
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2 Key Topics

Nutrition Assessment
9.4 Nutrition Support & Assessment
Additional Info
✓ Provide the client with dietary education on lactose-free or low-lactose alternatives. This includes recommending lactase supplements that can be taken before consuming dairy products to aid digestion.
✓ Collaborate with a dietitian to develop a personalized dietary plan that meets the client's nutritional requirements while avoiding lactose-containing foods.
✓ Lactose intolerance is estimated to affect about 65-70% of the world's population to varying degrees. The prevalence varies among different ethnic groups and is more common in certain populations, such as Asians, Africans, and Native Americans.