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. Waking from naps with a dry diaper indicates that the toddler’s bladder is able to hold urine for an extended period, a sign of physical readiness for toilet training.
B. Staying dry for 1 hour during the daytime is a good indication of bladder control and readiness for toilet training.
C. Comfort with waiting for a diaper change does not necessarily indicate readiness for toilet training.
D. Sitting on the toilet for 2 to 3 minutes is more about comfort than readiness, and toddlers may not sit still for that long.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}
Explanation
Anticipated
Sulfamethoxazole and trimethoprim are antibiotics commonly used to treat urinary tract infections. Administering the prescribed antibiotic is appropriate for treating the UTI.
Advising the child's guardian about the use of sunscreen is appropriate, especially if the child will be using sulfamethoxazole and trimethoprim which causes photosensitivity.
Proper perineal hygiene is essential in preventing recurrent urinary tract infections. Teaching the child about proper hygiene practices is important for preventing future UTIs.
Contraindicated
Salicylic acid (aspirin) is contraindicated in children with viral infections due to the risk of Reye's syndrome, a rare but serious condition. Since the child has a fever, which is likely due to the UTI, salicylic acid should not be given.
Fluid intake should be encouraged to help flush out the bacteria causing the UTI. Restricting fluid intake is not appropriate in this situation.
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