A 7-year-old child with a history of celiac disease is broug…

A 7-year-old child with a history of celiac disease is brought to the pediatric clinic for a routine check-up. The parent reports that the child has been more tired lately and seems smaller than other children in their class. The nurse reviews the growth chart and notes that the child’s height and weight are both below the 5th percentile, with little improvement over the past year. Laboratory results: Hemoglobin: 10.2 g/dL (low) Albumin: 3.0 g/dL (low) Vitamin D: 18 ng/mL (low) The parent states: “We try to follow the gluten-free diet, but sometimes it’s hard because they love pizza and birthday cake at school.” Which nursing assessments or findings support that this child’s chronic gastrointestinal disorder is impacting growth and development? Select all that apply

A 48-year old client arrives to the clinic complaining of lo…

A 48-year old client arrives to the clinic complaining of long term flank pain and occasional blood in her urine.  She reports voiding more frequently, including during the night.  The client also reports a family history of polycystic kidney disease.  Which additional finding would the nurse associate with the possibility of this client having polycystic kidney disease?