A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse which symptoms made the practitioner suspect cystic fibrosis. Which response by the nurse is the most appropriate?

Clubbed fingers

Meconium ileus

Barrel chest

Steatorrheic stools

Answer and Explanation

The Correct Answer is B

Choice A reason: Clubbed fingers are a sign of chronic hypoxia and may be seen in older children with cystic fibrosis, but they are not typically present at birth.
Choice B reason: This is the correct choice. Meconium ileus is a blockage of the intestines that occurs shortly after birth and is often the first sign of cystic fibrosis.
Choice C reason: A barrel chest is associated with chronic respiratory conditions and would not be present in a newborn.
Choice D reason: Steatorrheic stools, or fatty stools, may occur in cystic fibrosis but are not a primary indicator in a newborn.

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Correct Answer is A

Explanation

Choice A reason: This is the correct choice. A blood glucose level of 56 mg/dL indicates hypoglycemia, and the immediate priority is to raise the blood sugar level. Non-diet carbonated soda can provide a quick source of sugar.
Choice B reason: Documenting the reading is important but does not address the immediate need to correct the low blood sugar.
Choice C reason: While confirming the reading with a laboratory test is a good practice, it is not the first action to take when dealing with hypoglycemia.
Choice D reason: Administering insulin would be contraindicated as it would lower the blood sugar even further.

A. Provide the child with an iPad with a guided meditation and relaxation app running. B. A bumblebee-shaped device with a vibrating sensation placed proximally to the blood draw site. C. Intravenous sedation 15 minutes prior to the procedure. D. EMLA cream applied immediately before the procedure.

Correct Answer is D

Explanation

Choice A reason: While distraction can be helpful, it may not be sufficient to reduce the pain of a needle stick for a 2-year-old.
Choice B reason: The vibrating device may distract from the pain, but it does not provide actual analgesia.
Choice C reason: Intravenous sedation is not practical or safe for daily blood draws in a 2-year-old.
Choice D reason: This is the correct choice. EMLA cream is a topical anesthetic that can effectively numb the skin and reduce pain from needle sticks.

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A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse which symptoms made the practitioner suspect cystic fibrosis. Which response by the nurse is the most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse obtains a fingerstick blood glucose level using bedside lancet/glucose meter equipment from a client with a prescribed sliding scale insulin protocol. The meter indicates 56 mg/dL (3.12 mmol/L). At this time, which intervention should the nurse implement first?

Correct Answer is A

Explanation

A parent asks the nurse if there is anything that can be done to reduce the pain that his 2-year-old experiences each morning when blood is drawn for lab studies. Which intervention is the best choice for the nurse to implement based on the parent's concern?

Correct Answer is D

Explanation

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