An older adult African-American client with a history of celiac disease presents with abdominal cramps, pain, and diarrhea
The client denies the use alcohol, but states, "my favorite foods are steak, cheese, and ice cream." Based on this data, which condition does the nurse suspect?
A) Acute pancreatitis
B) Appendicitis
C) Lactase deficiency
D) Food poisoning
Answer: C
The most common risk factor for pancreatitis is alcohol abuse. Appendicitis usually involves loss of appetite and nausea and/or vomiting soon after abdominal pain begins. Lactose intolerance is more common in Native Americans, Asians, Hispanics, and African-Americans and in those with a history of celiac disease. Food poisoning generally causes some nausea and vomiting.
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