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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Using a hair dryer on a cool setting can help relieve itching, but it is not as critical as ensuring circulation in the affected limb.

B. Skin irritation at the cast edges should be monitored but is not the most immediate concern.

C. Restricting strenuous activities is important, but it is secondary to monitoring for signs of complications like poor circulation or swelling.

D. Monitoring for pallor or swelling is the priority, as it can indicate complications such as impaired circulation, compartment syndrome, or increased pressure within the cast.

A. "Our child talks in a monotone voice." B. "Our child repeats statements often." C. "Our child responds quickly to questions in short sentences." D. "Our child prefers to play in groups."

Correct Answer is A

Explanation

A. A monotone voice in a young child is a possible manifestation of hearing loss. Children learn to modulate their voice based on the sounds they hear. If a child has a hearing impairment, they may be unable to hear pitch, tone, or volume correctly, resulting in flat or monotone speech.

B. While repetition can occur in children with hearing loss, it is also common in normal speech development and not specific to hearing issues. Repeating statements could reflect language processing or mimicry rather than hearing difficulty.

C. Quick responses to questions and short sentences suggest normal hearing and comprehension.

D. Preferring to play in groups does not necessarily indicate a hearing issue.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?

Correct Answer is D

Explanation

A nurse is interviewing the parents of a 3-year-old child. Which of the following statements from the parents should the nurse recognize as a manifestation of a hearing loss in the child?

Correct Answer is A

Explanation

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