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 B
Explanation
Rationale:
A. Washing the child's hair with ketoconazole shampoo is not typically indicated for treating scabies, which is caused by mites.
B. Treating close contacts is essential to prevent the spread of scabies.
C. Applying petroleum jelly is not an effective treatment for scabies.
D. Soaking combs and brushes in boiling water may help to disinfect them but is not the primary treatment for scabies.
Correct Answer is A
Explanation
Rationale:
A. Applying bactericidal ointment to lesions helps treat impetigo by killing the bacteria causing the infection.
B. Acyclovir is used to treat viral infections such as herpes simplex virus, not bacterial infections like impetigo.
C. Soaking hairbrushes in boiling water is not necessary for treating impetigo.
D. Soft toys do not need to be sealed in a plastic bag for treating impetigo.
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