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 C
Explanation
A. A 4-year-old preschooler who has a rivalry with their siblings is incorrect. Sibling rivalry is a normal part of child development and does not indicate abuse or neglect that would require reporting.
B. A 24-month-old toddler who experiences occasional incontinence is incorrect. Occasional incontinence is developmentally appropriate for a 2-year-old and is not a concern for mandatory reporting.
C. A 6-month-old infant who has a spiral fracture to a lower extremity is correct. Spiral fractures in non-ambulatory infants are highly suspicious for non-accidental trauma (child abusE. and should be reported to local authorities for further investigation. These fractures are often caused by twisting forces rather than accidental injuries.
D. A 9-month-old infant who has been exposed to bedbugs and has cellulitis is incorrect. While bedbug exposure and cellulitis require medical treatment and possibly social support, they do not necessarily indicate abuse or neglect that mandates reporting.
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.
✓
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