A 3-year-old Native American child is admitted to the pediatric unit for emergency surgery. Which of the following questions should the nurse include when taking the admission history from the child's parents?
Does your Indian tribe believe in immunizing children?
Do you attend Native American Pow Wows with the family?
Have you consulted with your tribal healer about your child's illness?
What herbal remedies have you given your child today?
The Correct Answer is C
Choice A reason: This is not a relevant question for the admission history, as it does not address the child's current condition or treatment plan. It may also be perceived as insensitive or judgmental by the parents.
Choice B reason: This is not a pertinent question for the admission history, as it does not relate to the child's medical history or needs. It may also be seen as intrusive or irrelevant by the parents.
Choice C reason: This is an appropriate question for the admission history, as it acknowledges the cultural beliefs and practices of the parents and the child. It also helps the nurse to identify any potential interactions or conflicts between the tribal healer's recommendations and the medical treatment.
Choice D reason: This is a valid question for the admission history, as it informs the nurse of any alternative therapies or substances that the child may have received or ingested. It also helps the nurse to assess the effectiveness and safety of the herbal remedies, and to prevent any adverse effects or interactions with the prescribed medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This response is correct because a sweat chloride test is the gold standard for diagnosing CF. CF is a genetic disorder that affects the function of the chloride channels in the cells, leading to thick and sticky mucus in various organs. A sweat chloride test measures the amount of chloride in the sweat, which is abnormally high in people with CF.
Choice B reason: This response is not correct because serum calcium is not related to CF. Serum calcium is a measure of the amount of calcium in the blood, which is influenced by factors such as diet, vitamin D, parathyroid hormone, and kidney function.
Choice C reason: This response is not correct because bronchoscopy is not a diagnostic test for CF. Bronchoscopy is a procedure that involves inserting a flexible tube with a camera into the airways to examine the lungs and collect samples. Bronchoscopy may be used to treat complications of CF, such as mucus plugs or infections, but it is not essential for establishing the diagnosis.
Choice D reason: This response is not correct because urine creatinine is not a diagnostic test for CF. Urine creatinine is a measure of the amount of creatinine, a waste product of muscle metabolism, in the urine. Urine creatinine reflects the kidney function and muscle mass, but it is not affected by CF.
Correct Answer is A
Explanation
Choice A: 100 mg PO q8 hours - This would give a total of 300 mg per day. Given the child's weight of 11 kg, this results in a dosage of about 27 mg/kg/day, which is within the safe range of 20-40 mg/kg/day.
Choice B: 350 mg PO q8 hours - This would give a total of 1050 mg per day. This results in a dosage of about 95 mg/kg/day, which is more than twice the upper limit of the safe range.
Choice C: 220 mg PO q8 hours - This would give a total of 660 mg per day. This results in a dosage of about 60 mg/kg/day, which is above the safe range.
Choice D: 500 mg PO q8 hours - This would give a total of 1500 mg per day. This results in a dosage of about 136 mg/kg/day, which is more than three times the upper limit of the safe range.
Therefore, the only safe dosage among these options is 100 mg PO q8 hours. Always remember to double-check dosages and consult with a healthcare professional if you're unsure. Safety is paramount when it comes to medication administration.
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