Exhibit 1. Exhibit 2. Provider Prescriptions.
Exhibit 3. Pancrelipase 8,000 units PO with each meal and snack.
Chest physiotherapy three times daily.
A nurse is reviewing the medical record of a school-age child who has cystic fibrosis.
Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client.
There are three tabs that contain separate categories of data.)

The correct answer is choice d. Demonstrate deep-breathing and counting exercises.

Choice A rationale:

Using vague language to describe the procedure can increase anxiety and fear in the child. Clear and age-appropriate explanations help the child understand what to expect.

Choice B rationale:

A 30-minute teaching session may be too long for a school-age child, leading to loss of attention and increased anxiety. Short, focused sessions are more effective.

Choice C rationale:

Explaining the procedure in the playroom can associate a place of comfort with stress and anxiety. It’s better to explain the procedure in a neutral or medical setting.

Choice D rationale:

Demonstrating deep-breathing and counting exercises helps the child manage anxiety and pain during the procedure. These techniques are effective coping strategies for children undergoing medical procedures.

The correct answer is choice d. Implement droplet precautions for the child.

Choice A rationale:

Preparing the child for a lumbar puncture is important for diagnosing bacterial meningitis, but it is not the first action. Immediate infection control measures are more critical to prevent the spread of the disease.

Choice B rationale:

Dimming the lights can help reduce discomfort from photophobia, a common symptom of meningitis, but it is not the priority action when first addressing a suspected case of bacterial meningitis.

Choice C rationale:

Administering an antipyretic to reduce fever is important for comfort and to manage symptoms, but it does not address the immediate need to prevent the spread of infection.

Choice D rationale:

Implementing droplet precautions is the first action the nurse should take. Bacterial meningitis can be highly contagious, and droplet precautions help prevent the spread of the infection to other patients and healthcare workers.