A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?

Dietitian

Physical therapist

Speech-language pathologist

Occupational therapist

Answer and Explanation

The Correct Answer is B

A.   A dietitian is essential for managing cystic fibrosis because CF often leads to malabsorption of nutrients and requires a high-calorie, high-fat diet to support growth and maintain weight. Children with CF may also need enzyme supplements to aid in digestion. However, this can be done after addressing the respiratory concerns.
B.   Regular physical therapy is important for helping the child with respiratory exercises and techniques to clear mucus from the lungs, as well as improving overall physical conditioning and endurance. Physical therapy helps manage and prevent complications related to lung function, which is a key concern in CF.
C.   A speech-language pathologist can be helpful in assessing and treating communication and swallowing disorders but they are not typically the primary focus in the management of cystic fibrosis unless the child has specific issues related to speech or swallowing that are not common in CF.
D.   An occupational therapist helps children develop skills for daily living and fine motor skills. While this can be beneficial for children with various conditions, it is not usually a primary focus for a child with cystic fibrosis unless there are specific concerns related to fine motor skills or activities of daily living.

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Correct Answer is A

Explanation

A. Vomiting after administering digoxin could be a sign of digoxin toxicity or intolerance. Before giving another dose, it is crucial to assess the infant’s condition, check for signs of digoxin toxicity, and consult with the healthcare provider. Administering the next dose without addressing the underlying issue could worsen the situation.
B. Mixing digoxin with a large volume of formula is not recommended. Digoxin should be administered in precise doses, and diluting it in such a large volume could lead to inaccuracies in dosing. Furthermore, mixing medication with formula does not address the issue of vomiting or potential toxicity.
C. While giving an antiemetic might seem like a solution to vomiting, it does not address the root cause of the vomiting, which could be related to digoxin toxicity or another issue. The first step should be to

assess the situation and determine if the vomiting is related to digoxin levels, and then consult with the healthcare provider. They may recommend appropriate interventions based on the infant’s condition.
D. Increasing fluid intake might be beneficial to prevent dehydration from vomiting, but it does not address the potential underlying cause of the vomiting, which could be related to digoxin toxicity. It is important to focus on the underlying cause and consult with the healthcare provider to determine the appropriate action. Managing fluid intake alone does not resolve the issue with digoxin or its side effects.

A. A preschool-age child who has pediculosis capitis B. A school-age child who has viral conjunctivitis C. An adolescent who has hepatitis A D. A toddler who has seasonal influenza

Correct Answer is D

Explanation

A. Pediculosis capitis, also known as head lice, is transmitted through direct head-to-head contact or by sharing personal items such as hats or combs. It is not transmitted via respiratory droplets, so droplet precautions are not required. Standard precautions for lice, such as treating the infestation and avoiding close contact, are appropriate.
B. Viral conjunctivitis, also known as pink eye, is primarily spread through direct contact with the eye secretions or contaminated objects. While viral conjunctivitis can be spread via contact, it does not require droplet precautions. Instead, proper hand hygiene and contact precautions are important to prevent the spread of the infection.
C. Hepatitis A is transmitted primarily through the fecal-oral route and not through respiratory droplets. Therefore, droplet precautions are not necessary. Standard precautions, including proper hand hygiene and safe food handling, are important for preventing the spread of hepatitis A.
D. Seasonal influenza (flu) is transmitted via respiratory droplets when an infected person coughs or sneezes. Droplet precautions are recommended for individuals with influenza to prevent the spread of the virus. This includes wearing masks, practicing good hand hygiene, and maintaining distance from others.

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A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?

Correct Answer is D

Explanation

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