A nurse is assisting in the care of a child who has cystic fibrosis and a prescription for pancreatic enzymes. Which of the following outcomes is a desired effect of the pancreatic enzymes?
Passing one or two formed stools each day
Maintaining an oxygen saturation of 54% or higher
Maintaining a fasting blood glucose of less than 120 mg/dL (70 to 110 mg/dL)
Losing 0.5 kg per week
The Correct Answer is A
A. Passing one or two formed stools each day is correct. Pancreatic enzymes help improve digestion and nutrient absorption in children with cystic fibrosis. A desired outcome is a reduction in fatty, foul-smelling, bulky stools (steatorrheA. and a more normal stool consistency.
B. Maintaining an oxygen saturation of 54% or higher is incorrect. An oxygen saturation of 54% is dangerously low and not an expected outcome for cystic fibrosis management. Oxygen saturation levels should ideally be above 90%.
C. Maintaining a fasting blood glucose of less than 120 mg/dL (70 to 110 mg/dL) is incorrect. While cystic fibrosis-related diabetes can occur, pancreatic enzyme therapy does not directly regulate blood glucose levels.
D. Losing 0.5 kg per week is incorrect. Weight loss is a sign of malabsorption and poor nutritional status, indicating that pancreatic enzyme therapy may need to be adjusted. The goal is weight maintenance or gain, not loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}
Explanation
- Maintain infant on continuous pulse oximetry: Continuous monitoring of oxygen saturation is essential for assessing the infant's respiratory status.
- Maintain infant in supine position: Keeping the infant in a supine position is generally safe and helps with monitoring and care.
- Offer small, frequent feedings: Small, frequent feedings can help maintain the infant's nutritional status and prevent dehydration.
- Monitor intake and output: Monitoring intake and output is crucial for assessing the infant's fluid balance and overall health.
- Initiate a peripheral IV line: Establishing IV access is important for administering medications and fluids as needed.
Provider prescription
Anticipated
Contraindicated
Maintain infant on continuous pulse oximetry.
✓
Maintain infant in supine position.
✓
Offer small, frequent feedings.
✓
Monitor intake and output.
✓
Initiate a peripheral IV line.
✓
Prepare the infant for a chest x-ray.
✓
Correct Answer is A
Explanation
A. Toe: In infants, the toes are often the preferred site for pulse oximetry as they have good perfusion and can provide accurate readings without causing discomfort. This site is commonly used for infants who are unable to tolerate sensors on their fingers or ears.
B. Finger: The fingers are not typically used in infants, especially in those who are under 1 year of age, because they may not provide a consistent or accurate reading due to smaller, less developed capillaries and possible movement during the procedure.
C. Ear lobe: While the ear lobe can be used in older children and adults, it is not the best choice for infants, especially those with respiratory distress, as it might not provide a reliable reading due to the small size and mobility of the earlobe.
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