A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?

Kyphosis

Constipation

Enuresis

Facial twitching

Answer and Explanation

The Correct Answer is D

A)   Kyphosis, or curvature of the spine, is not typically an urgent concern in sickle cell anemia.
B)   Constipation can occur but is not typically an urgent complication.
C)   Enuresis, or bedwetting, may be a concern but is not typically an urgent complication.
D)   Facial twitching could indicate neurological involvement or a stroke, which is a serious complication of sickle cell anemia and requires immediate attention.

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Correct Answer is A

Explanation

A) This option provides a suitable alternative for obtaining calcium without consuming milk, which is appropriate for someone who is lactose intolerant.
B) While plain milk may be better tolerated than chocolate milk due to fewer additives, it's not a suitable option for someone who is lactose intolerant.
C) Flavored yogurt may contain lactose and could potentially worsen symptoms of lactose intolerance.
D) Drinking milk on an empty stomach doesn't address the issue of lactose intolerance and may exacerbate symptoms.

A. Pancreatic lipase B. Acetaminophen C. Water-soluble vitamins D. Meperidine E. Dornase alfa

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

Explanation

A. Children with cystic fibrosis often have pancreatic insufficiency, leading to malabsorption of fats and fat-soluble vitamins. Pancreatic lipase supplements are necessary to aid in the digestion of fats.
B. Acetaminophen is an analgesic and antipyretic that has no effect on the underlying cause of cystic fibrosis.
C. Deficient levels of vitamins A, D, E, and K indicate malabsorption, necessitating supplementation with water-soluble vitamins to address nutritional deficiencies.
D. Meperidine is an opioid analgesic that can cause respiratory depression and increase the risk of pulmonary complications.
E. Dornase alfa (Pulmozyme) is a recombinant human deoxyribonuclease enzyme used in the management of cystic fibrosis to improve pulmonary function by reducing the viscosity of mucus in the airways.

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A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a school-age child who has cystic fibrosis. Exhibits A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.

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

Explanation

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