A nurse is admitting a child who has cystic fibrosis. Which of the following medications should the nurse expect to include in the plan of care? (Select all that apply)
Albuterol
Loperamide
Tobramycin
Dornase alfa
Fat-soluble vitamins
Correct Answer : A,C,D,E
Choice A reason: Albuterol is a bronchodilator used to relieve breathing difficulties, which are common in cystic fibrosis.
Choice B reason: Loperamide is an anti-diarrheal medication and is not typically used in the management of cystic fibrosis.
Choice C reason: Tobramycin is an antibiotic that can be nebulized to treat lung infections in cystic fibrosis patients.
Choice D reason: Dornase alfa is an enzyme that helps to thin mucus, improving lung function in cystic fibrosis patients.
Choice E reason: Fat-soluble vitamins are essential in cystic fibrosis due to malabsorption issues associated with the disease.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Bed rest is not a specific treatment for Hirschsprung's disease. While rest may be part of preoperative care, it does not address the underlying issue of the disease⁹.
Choice B reason: Surgery is the definitive treatment for Hirschsprung's disease. The pull-through procedure is commonly used to remove the affected section of the colon and connect the healthy part to the anus⁷.
Choice C reason: An NG tube may be used for decompression if there is a bowel obstruction, but it is not a treatment for Hirschsprung's disease itself. Surgery is required to correct the absence of nerve cells in the colon⁹.
Choice D reason: A high-fiber diet is not recommended before surgery as it may increase the risk of enterocolitis and bowel obstruction in patients with Hirschsprung's disease⁹.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A reason: It is the nurse's responsibility to administer medication, not the caregiver's, to ensure proper dosage and method.
Choice B reason: Calculating the safe dosage is essential to avoid underdosing or overdosing, which can be harmful to the toddler's health.
Choice C reason: Offering juice after medication can help wash down the taste and ensure the medication is swallowed properly.
Choice D reason: Identifying the toddler by asking the caregiver ensures that the correct child receives the medication, which is a critical safety step.
Choice E reason: Asking the toddler to pick a toy can provide comfort and distraction, making the administration process smoother and less stressful for the child.
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