A nurse is caring for a school-age child who has cystic fibrosis.
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.
Water-soluble vitamins
Acetaminophen
Dornase alfa
Meperidine
Pancreatic lipase
Correct Answer : A,C,E
Rationale:
A. Deficient levels of vitamins A, D, E, and K indicate malabsorption, necessitating supplementation with water-soluble vitamins to address nutritional deficiencies.
B. Acetaminophen is an analgesic and antipyretic that has no effect on the underlying cause of cystic fibrosis.
C. 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.
D. Meperidine is an opioid analgesic that can cause respiratory depression and increase the risk of pulmonary complications.
E. 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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Lavender oil is commonly used for relaxation and calming effects.
B. Eucalyptus oil is more commonly used for respiratory issues and may not be as suitable for relaxation.
C. Jasmine oil is often used for its pleasant scent but may not have the same relaxation properties as lavender.
D. Tea tree oil is typically used for its antimicrobial properties and may not be as effective for relaxation purposes as lavender.
Correct Answer is B
Explanation
Rationale:
A. This amount of drainage may be expected postoperatively, and it is not indicative of a significant issue.
B. This is a concerning finding indicating possible inadequate renal perfusion, especially considering the postoperative status of the toddler.
C. While slightly lower than the typical body temperature, it is not necessarily abnormal, particularly in a postoperative setting.
D. Pulses of 2+ indicate adequate perfusion and are not concerning.
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