Chapter 11: Health Problems of Infants MULTIPLE CHOICE  A nurse is assessing a child with kwashiorkor disease. Which assessment findings shouldthe nurse expect? a. Thin wasted extremities with a prominent abdomen b. Constipation c. Elevated hemoglobin d. High levels of proteinANS: A The child with kwashiorkor has thin, wasted extremities and a prominent abdomen from edema (ascites). Diarrhea (persistent diarrhea malnutrition syndrome) not constipation commonly occurs from a lowered resistance to infection and further complicates the electrolyte imbalance. Anemia and protein deficiency is a common finding in malnourishedchildren with kwashiorkor. A+ Herzing University NUR 402 exam 3 ped Exam Questions and Answers 100%Correct/Verified Graded A+ New Update 2022/2023 Herzing University NUR 402 exam 3 ped Exam Questions and Answers 100%Correct/Verified Graded A+ New Update 2022/2023 PTS: 1 DIF: Cognitive Level: Understand REF: 357 TOP: Integrated Process: Nursing Process: AssessmentMSC: Area of Client Needs: Physiologic Integrity  A nurse is preparing to accompany a medical mission’s team to a third world country.Marasmus is seen frequently in children 6 months to 2 years in this country. Which symptoms should the nurse expect for this condition? a. Loose, wrinkled skin b. Edematous skin c. Depigmentation of the skin d. Dermato sesANS: A Marasmus is characterized by gradual wasting and atrophy of body tissues, especially of subcutaneous fat. The child appears to be very old, with loose and wrinkled skin, unlike the child with kwashiorkor, who appears more rounded from the edema. Fat metabolism is less impaired than in kwashiorkor; thus, deficiency of fat-soluble vitamins is usually minimal or absent. In general, the clinical manifestations of marasmus are similar to those seen in kwashiorkor with the following exceptions: With marasmus, there is no edema from hypoalbuminemia or sodium retention, which contributes to a severely emaciated appearance; no dermatoses caused by vitamin A+ Herzing University NUR 402 exam 3 ped Exam Questions and Answers 100%Correct/Verified Graded A+ New Update 2022/2023 Herzing University NUR 402 exam 3 ped Exam Questions and Answers 100%Correct/Verified Graded A+ New Update 2022/2023 deficiencies; little or no depigmentation of hair or skin; moderately normal fat metabolism and lipid absorption; and a smaller head size and slower recovery after treatment. PTS: 1 DIF: Cognitive Level: Understand REF: 357 TOP: Integrated Process: Nursing Process: AssessmentMSC: Area of Client Needs: Physiologic Integrity  Rickets is caused by a deficiency in: a. vitamin A. b. vitamin C. c. vitamin D and calcium. d. folic acid and iron.ANS: C Fat-soluble vitamin D and calcium are necessary in adequate amounts to prevent the development of rickets. No correlation exists between vitamins A, C, folic acid, or iron andrickets. PTS: 1 DIF: Cognitive Level: Remember REF: 355 TOP: Integrated Process: Nursing Process: AssessmentMSC: Area of Client Needs: Physiologic Integrity