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

Answer and Explanation

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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Correct Answer is D

Explanation

Choice A reason: Hyperventilation can be a sign of oxygen toxicity as the body attempts to balance oxygen and carbon dioxide levels.

Choice B reason: Increased blood pressure is not typically a direct sign of oxygen toxicity; it may be related to other underlying conditions.

Choice C reason: Decreased PaCO2 can be a result of hyperventilation, which is a compensatory mechanism in response to oxygen toxicity.

Choice D reason: Unconsciousness can be a severe sign of oxygen toxicity, indicating a high level of oxygen in the blood affecting brain function.

A. Administer multiple vitamins and minerals in the IV solution. B. Infuse total parenteral nutrition via a central catheter. C. Insert a feeding tube and initiate enteral feedings. D. Encourage an oral intake of at least 3000 kcal per day.

Correct Answer is B

Explanation

Choice A reason: While administering vitamins and minerals is important, it does not provide complete nutrition, especially for a client with such extensive burns and absent bowel sounds.

Choice B reason: This is the correct choice because total parenteral nutrition (TPN) provides complete nutrition intravenously, bypassing the gastrointestinal tract, which is necessary when bowel sounds are absent, indicating a non-functioning GI system.

Choice C reason: Enteral feedings require a functioning GI tract. With absent bowel sounds, this indicates a high risk for complications like aspiration or feeding intolerance.

Choice D reason: Encouraging oral intake is not feasible for a client with extensive burns and absent bowel sounds due to the high risk of inadequate intake and aspiration.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who is receiving oxygen. Which of the following findings indicates oxygen toxicity?

Correct Answer is D

Explanation

A client has just been admitted with a 60% total body surface area (TBSA) burn injury. The nurse notes absent bowel sounds in all quadrants. To maintain adequate nutrition, which action should the nurse plan to take?

Correct Answer is B

Explanation

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