A nurse is teaching the mother of a 5-year-old child who has cystic fibrosis about pancreatic enzymes. The nurse should understand that further teaching is necessary when the mother states which of the following?
"I will put the enzyme crystals in his applesauce.
"The enzymes probably won't cause many adverse effects."
"The enzymes help him digest fat.
"I will give my son the enzymes between meals.
The Correct Answer is D
In cystic fibrosis, the pancreas does not secrete enough digestive enzymes, leading to malabsorption of nutrients, especially fats. To help with digestion, pancreatic enzymes are prescribed to be taken with meals and snacks. These enzymes should be given just before or with each meal or snack to aid in the breakdown and absorption of nutrients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["260"]
Explanation
To calculate the total fluid intake, we need to convert all the measurements to milliliters (mL) and then add them up:
1 cup = 240 mL
1 oz = 30 mL
Given fluid intake:
Juice: ½ cup = 0.5 * 240 mL = 120 mL
Gelatin: 3 oz = 3 * 30 mL = 90 mL
Ice pop: 1 oz = 1 * 30 mL = 30 mL
Ginger ale: 20 mL
Total fluid intake = 120 mL + 90 mL + 30 mL + 20 mL = 260 mL
So, the nurse should record 260 mL as the child's fluid intake.
Correct Answer is B
Explanation
The nurse should clarify the prescription to administer sodium biphosphate/sodium phosphate because it is a laxative and is contraindicated in a child with suspected appendicitis. The use of laxatives or enemas can potentially worsen the condition by increasing the risk of perforation or rupture of the inflamed appendix.
A. Monitoring oral temperature every 4 hours is important to assess for signs of infection or worsening condition.
C. Maintaining NPO status is essential to avoid stimulating the digestive system and to prepare for possible surgery.
D. Medicating the client for pain every 4 hours as needed is appropriate to manage pain and provide comfort while the child awaits further evaluation or treatment.
Remember, it's crucial to avoid the use of laxatives, enemas, or any other interventions that can potentially aggravate the inflamed appendix in a child with suspected appendicitis.
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