The nurse in the outpatient gastroenterology clinic provides care for a middle-age adult client. The

The nurse in the outpatient gastroenterology clinic provides care for a middle-age adult client. The nurse provides care 2 weeks later during a follow-up clinic visit. The client’s diagnostic tests confirm a diagnosis of celiac disease. History The nurse’s priority consideration is the client’s increased risk to develop which autoimmune disease? The client presents in the clinic for follow-up of persistent lower gastrointestinal symptoms. O1. Guillain-Barre syndrome (GBS). The client has recent, unintentional weight loss with abdominal pain, distention, and diarrhea. The client is experiencing flatulence, steatorrhea, and bloating after eating. A recent O 2. Type 1 diabetes colonoscopy with biopsy was normal. The client is notably fatigued, accompanied by findings of glossitis and skin pallor. The client also reports depression, lack of focus, migraine headaches, and at times paresthesias in the hands and feet. The client has joint pain and 3. Atopic dermatitis (eczema). imaging evidence of decreased bone density. Medications include an antidiarrheal agent, oral ferrous sulfate, calcium and vitamin D supplements, and levothyroxine. Follow-up 4. Dressler syndrome. hematology and blood chemistries results are pending. Past Health History: Two years ago, the client developed a thyroid goiter and was diagnosed with Hashimoto thyroiditis. Past medical history includes gastroesophageal reflux disease (GERD), chronic anemia, osteopenia, and obstructive sleep apnea (OSA). Plan: Serologic antibody testing and upper gastrointestinal endoscopy with intestinal biopsy.

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