Mr. T is a 39-year-old client recently diagnosed with celiac sprue after admission to the local hospital with abdominal pain, diarrhea, and weight loss
On discharge the nurse explains that he must be very diligent in following his diet because he is at risk for malnutrition due to: 1. Poor nutritional absorption as a result of inflammation of the mucosal surfaces. 2. Large losses of intestinal fluid causing the loss of zinc. 3. Steatorrhea resulting from poor fat absorption. 4. Malabsorption caused by atrophy of the intestinal villi.
4
Rationale: Celiac sprue is an autoimmune disease that causes atrophy rather than inflammation to intestinal villi. Large losses of intestinal fluid and loss of zinc result from inflammatory bowel disease. Steatorrhea, or fatty diarrhea, causes malabsorption of calcium.
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