A nurse is admitting an 8-year-old child to the pediatric unit.

Exhibits

For each potential condition, click to specify if the child's assessment findings are consistent with Hodgkin Lymphoma, Bacterial Meningitis, or Acute Lymphoblastic Leukemia (ALL). Each finding may support more than 1 diseases.

A. "I will increase my intake of vitamin D.": People with cystic fibrosis have fat malabsorption, which affects absorption of fat-soluble vitamins like A, D, E, and K. Supplementing vitamin D is essential to support bone health and prevent deficiencies.

B. "I will limit my calcium intake to prevent kidney stones.": Limiting calcium is not recommended. In fact, individuals with cystic fibrosis are at risk for low bone mineral density and need adequate calcium intake along with vitamin D to support bone development and prevent osteoporosis.

C. "I will be excused from physical education class.": Physical activity is encouraged in individuals with cystic fibrosis. It helps improve lung function, clear mucus from the airways, and maintain overall physical health. Avoiding PE would be counterproductive.

D. "I will take fewer enzymes when I eat high-fat foods.": High-fat foods require more pancreatic enzyme replacement to aid digestion and absorption. Taking fewer enzymes would result in malabsorption and GI symptoms.

A. "Surgical repair is the recommended treatment for infants younger than 6 months old." For infants with coarctation of the aorta, especially those under 6 months, surgical repair is typically the preferred treatment. It offers definitive correction of the obstruction and helps prevent complications like heart failure or hypertension.

B. "The obstruction will be treated with a medication called indomethacin.": Indomethacin is used to close a patent ductus arteriosus (PDA), not to treat coarctation of the aorta. In fact, in some cases of coarctation, maintaining ductal patency with prostaglandins is temporarily helpful before surgery.

C. "Most cases resolve spontaneously without treatment by 12 months of age.": Coarctation of the aorta does not resolve on its own. Without intervention, it can lead to severe complications including congestive heart failure, poor perfusion, and even death.

D. "The cardiologist will monitor your infant closely until they are able to receive treatment with a heart transplant.": A heart transplant is not a standard treatment for coarctation of the aorta. Most infants with this condition are treated successfully with surgical or catheter-based interventions, not transplantation.