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.

Water-soluble vitamins

Acetaminophen

Dornase alfa

Meperidine

Pancreatic lipase

Answer and Explanation

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.

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Correct Answer is D

Explanation

Rationale:

A. Neck vein distention is not typically associated with acute acetylsalicylic acid poisoning.

B. Polyuria is not a common symptom of acute acetylsalicylic acid poisoning.

C. Jaundice is not typically associated with acute acetylsalicylic acid poisoning.

D. Hyperpyrexia (extremely high fever) is a potential complication of acute acetylsalicylic acid poisoning due to its effects on the central nervous system and metabolism.

A. Instruct the parent to ensure the pneumococcal vaccine is current. B. Administer folic acid as prescribed. C. Monitor oxygen saturation continuously. D. Place the client on strict bed rest. E. Apply cold compresses to the affected joints. F. Administer meperidine IV for pain. G. Restrict oral intake. H. Give oral hydroxyurea.

Correct Answer is ["A","B","C","F","H"]

Explanation

Rationale:

A.Clients with sickle cell disease are at increased risk for infections, including those caused by pneumococcus. Ensuring vaccination status helps prevent future complications.

B. Folic acid supplementation may be part of the overall management of sickle cell disease, but it is not a priority intervention during a vaso-occlusive crisis.

C. Vaso-occlusive crises can lead to tissue hypoxia due to impaired blood flow.

Continuous monitoring of oxygen saturation helps in assessing tissue perfusion and detecting hypoxemia early.

D. Placing the client on strict bed rest can increase the risk of thrombosis and impair circulation.

E.Cold can cause vasoconstriction, worsening the pain and sickling process. Warm compresses are more appropriate for promoting comfort and improving circulation.

F. Meperidine (Demerol) is a potent opioid analgesic that can help alleviate severe pain associated with vaso-occlusive crises.

G. The nurse should not restrict oral intake, as hydration is important to prevent dehydration and further sickling.

H. Hydroxyurea is used to prevent vaso-occlusive crises in patients with sickle cell disease but is not typically administered during an acute crisis. This is a medication that reduces the frequency and severity of vaso-occlusive crises by increasing the production of fetal hemoglobin, which prevents sickling.

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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 in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for an adolescent who is admitted with a vaso-occlusive crisis. Exhibits The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.

Correct Answer is ["A","B","C","F","H"]

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.