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.

Meperidine

Dornase alfa

Acetaminophen

Water-soluble vitamins

Pancreatic lipase

Answer and Explanation

Correct Answer : B,D,E

A.   Meperidine is a narcotic analgesic used for pain relief and is not typically indicated for the management of cystic fibrosis.
B.   Dornase alfa is a medication commonly used in the management of cystic fibrosis to help improve respiratory function by reducing the viscosity of mucus in the airways.
C.   While acetaminophen may be used for managing fever or pain in children with cystic fibrosis, it is not specifically indicated as a standard medication for cystic fibrosis management.
D.   Children with cystic fibrosis often have deficiencies in fat-soluble vitamins (A, D, E, and K) due to malabsorption. Fat-soluble forms of these vitamins are typically prescribed to address these deficiencies.

E.   Pancreatic enzyme replacement therapy, such as pancreatic lipase, is necessary for children with cystic fibrosis who have pancreatic insufficiency. This medication helps improve digestion and absorption of nutrients by replacing the deficient pancreatic enzymes.

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Correct Answer is C

Explanation

A. Warming goat's milk before feeding does not address the issue of nutritional adequacy or suitability for the infant's age.
B. Soy milk may not be appropriate for a 10-month-old infant and may not adequately address nutritional needs.
C. Correct. Commercially prepared formula is recommended for infants who are not breastfeeding and provides essential nutrients necessary for growth and development.
D. Reinitiating breastfeeding may not be feasible or appropriate in this situation if the parent has chosen to feed the infant goat milk.

A. Assess both eyes together first, then each eye separately. B. Position the child 4.6 meters (15 feet) from the chart. C. Test the child without glasses before testing with glasses. D. Use a tumbling E chart for the assessment.

Correct Answer is D

Explanation

A. Assessing both eyes together first, then separately, is not a typical method for assessing visual acuity in children.
B. Positioning the child 4.6 meters (15 feet) from the chart is not practical for testing visual acuity in a clinical setting.
C. Testing the child without glasses before testing with glasses may be appropriate but is not specifically related to the method of visual acuity assessment.
D. Using a tumbling E chart is appropriate for assessing visual acuity in young children who may not recognize letters. The tumbling E chart uses a series of "E" shapes facing different directions, allowing the child to indicate the direction the "E" is facing, thus assessing visual acuity.

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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.

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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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.