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","D","E"]

Explanation

A. Inspecting the epiglottis is contraindicated in suspected cases of epiglottitis as it may trigger laryngospasm and compromise the airway.
B. Obtaining a throat culture may be indicated to confirm the presence of Haemophilus influenzae type B but is not an immediate priority in the management of epiglottitis.
C. Monitoring oxygen saturation is crucial as respiratory distress and hypoxia are common complications of epiglottitis.
D. Beginning droplet precautions is important to prevent the spread of the infectious agent to others.
E. Initiating IV access is necessary for administering fluids and medications, as well as for potential airway management in severe cases of epiglottitis.

A. Weigh the child once per day. B. Position the child supine at bed time. C. Limit calorie intake to 45 cal/kg/day. D. Increase fluid intake to 2 L/day.

Correct Answer is A

Explanation

A. Daily weight monitoring is essential in managing nephrotic syndrome to assess for fluid retention and response to treatment.
B. Positioning the child supine at bedtime is not specific to the management of nephrotic syndrome.
C. Calorie intake may need to be increased rather than limited in nephrotic syndrome to compensate for protein loss and meet increased energy needs.
D. Fluid intake may need to be restricted rather than increased, depending on the child's fluid status and response to treatment.

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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 caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.

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

Explanation

A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

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A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?

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.

A nurse is evaluating the pain level of a toddler who is cognitively impaired to a nonpharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?

A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?

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.