A nurse is caring for a child who has cystic fibrosis and is taking dornase alfa. Which of the following actions should the nurse take to evaluate the effectiveness of the medication?

Determine the child's heart rate.

Weigh the child daily.

Auscultate the child's breath sounds.

Monitor the child's 180.

Answer and Explanation

The Correct Answer is C

Choice A reason:

Determining the child's heart rate is important for assessing overall cardiovascular health, but it is not specific to evaluating the effectiveness of dornase alfa.

Choice B reason:

Weighing the child daily is important for monitoring overall nutritional status and fluid balance, but it is not specific to evaluating the effectiveness of dornase alfa.

Choice C reason:

Dornase alfa is a medication used to help clear mucus from the airways in individuals with cystic fibrosis. Therefore, auscultating the child's breath sounds for improved air exchange and reduced adventitious lung sounds is a direct way to evaluate the effectiveness of the medication.

Choice D reason:

Monitoring the child's 180 (assuming this is a typo and referring to heart rate) is important, but it is not specific to evaluating the effectiveness of dornase alfa.

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Correct Answer is ["C","D","E"]

Explanation

Choice A reason:

Obtaining the infant's weight with their diaper on should be avoided as this can alter the result.

Choice B reason:

Placing a stadiometer on the top of the infant's head to measure their length can harm or distress the infant.

Choice C reason:

Ensuring the scale is at 0 is important in obtaining an accurate weight Choice D reason:

Covering the scale with paper is recommended for hygiene purposes

Choice E reason:

This method provides an accurate measurement of the infant's length.

Correct Answer is ["2.5"]

Explanation

- Convert the infant's weight from pounds to kilograms: 22 Ib / 2.2 = 10 kg

- Calculate the daily dose of azithromycin: 10 mg/kg/day x 10 kg = 100 mg/day

- Calculate the volume of azithromycin oral suspension needed: 100 mg/day / (200 mg/5 mL) = 2.5 mL/day

- Round the answer to the nearest tenth: 2.5 mL/day

- The nurse should plan to administer 2.5 mL of azithromycin oral suspension to the infant.

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A nurse is caring for a child who has cystic fibrosis and is taking dornase alfa. Which of the following actions should the nurse take to evaluate the effectiveness of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to obtain the length and weight of a 6-month-old infant during a well- child visit. Which of the following actions should the nurse plan to take? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

Correct Answer is ["2.5"]

Explanation

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