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 C
Explanation
Rationale:
A. This statement describes peritoneal dialysis, not hemodialysis.
B. Hemodialysis does not use an electrolyte solution to clean the blood.
C. Hemodialysis indeed involves circulating the blood outside the body through an artificial membrane in the dialysis machine to remove waste products and excess fluids.
D. Hemodialysis involves intermittent filtration of the blood, not continuous filtration.
Correct Answer is ["0.6"]
Explanation
Rationale:
First, we need to convert the child's weight from pounds to kilograms. We can do this by dividing 55 by 2.2, which gives us 25 kg.
Next, we need to multiply the dose of diphenhydramine by the child's weight to get the total amount of medication needed. We can do this by multiplying 1.25 mg/kg by 25 kg, which gives us 31.25 mg.
Finally, we need to divide the total amount of medication by the concentration of the solution to get the volume to be administered. We can do this by dividing 31.25 mg by 50 mg/mL, which gives us 0.625 mL.
To round the answer to the nearest tenth, we look at the hundredths place and see that it is 5 or more, so we round up the tenths place by one. Therefore, the nurse should administer 0.6 mL of diphenhydramine IV to the child.
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