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 B

Explanation

A. Encouraging flexion and extension of the neck is contraindicated in a client with a halo vest to prevent further injury to the cervical spine.
B. Repositioning the client using a turning sheet helps to maintain proper alignment and prevent complications such as pressure ulcers.
C. Assessing the pin sites for infection should be done daily, not once every other day, to monitor for signs of infection.
D. Tightening the screws on the halo device should be done as prescribed by the healthcare provider and typically does not occur every 48 hours.

A. No head lag when pulled to a sitting position B. Doll's eye reflex intact C. Presence of tears when crying D. Positive Babinski reflex

Correct Answer is B

Explanation

A. No head lag when pulled to a sitting position is a normal finding at 4 months of age and does not require notification of the provider.
B. The Doll's eye reflex (also known as oculocephalic reflex) should be absent by 4 months of age. Its persistence could indicate neurological abnormalities and warrants further evaluation by the provider.
C. Presence of tears when crying is a normal physiological response and does not require notification of the provider.
D. Positive Babinski reflex is normal in infants under 2 years old and typically disappears by 12 to 24 months of age. It does not require immediate notification of the provider.

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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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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.