A nurse is reviewing the admission prescriptions for a 6-year-old child who has cystic fibrosis. For which of the following prescriptions should the nurse contact the child's provider?
Administer water-miscible vitamins A, D, E, and K.
Perform airway clearance therapy prior to bronchodilator medications.
Encourage intake of a high-calorie, high-protein diet.
Use the airway clearance therapy device every 2 hr while awake.
The Correct Answer is B
A. Water-miscible vitamins A, D, E, and K are appropriate for a child with cystic fibrosis, as they are fat-soluble vitamins that the child may not absorb well.
B. Airway clearance therapy should be performed after bronchodilator medications, not before. Bronchodilators help open the airways, which enhances the effectiveness of airway clearance therapy.
C. A high-calorie, high-protein diet is recommended for children with cystic fibrosis due to increased energy needs.
D. Using airway clearance therapy every 2 hours while awake is appropriate and ensures optimal lung function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Frequent negative responses (e.g., saying "no" often) are typical in toddlers due to their desire for independence and assertion of control.
B. While toddlers may resist routines occasionally, they are more likely to begin developing preferences for consistent routines.
C. Toddlers begin to show increased independence, not dependency.
D. Emotional lability, such as rapid mood changes, is common in toddlers and does not typically decrease at this stage.
Correct Answer is A
Explanation
A. Erythema infectiosum (also known as Fifth Disease) is transmitted via respiratory droplets, so droplet precautions are appropriate.
B. Airborne precautions are not required for erythema infectiosum as it is not spread via airborne transmission.
C. Contact precautions are typically used for infections that spread via direct contact, not for erythema infectiosum.
D. Protective environment precautions are typically used for immunocompromised patients, which is not necessary for erythema infectiosum.
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