If the pancreatic enzymes are having the desired effect for a patient with cystic fibrosis, the nurse should expect to make which observation?
The patient's stool is normal.
The patient's sclerae are white.
The patient's buccal mucosa is moist.
The patient's urine is negative for glucose.
If the pancreatic enzymes are having the desired effect for a patient with cystic fibrosis, the nurse should expect to make which observation?
The Correct Answer is A
Choice A rationale:
If the pancreatic enzymes are effectively aiding in digestion for a patient with cystic fibrosis, the expected outcome would be improved absorption of nutrients and fats. This would result in normal stool consistency and color. Cystic fibrosis often impairs the pancreas' ability to produce sufficient digestive enzymes, leading to malabsorption and fatty stools. Therefore, observing normal stool consistency indicates that the enzymes are working adequately.
Choice B rationale:
The color of the patient's sclerae (the white part of the eyes) is not directly related to the effectiveness of pancreatic enzymes in cystic fibrosis. Scleral color can be affected by various factors such as jaundice, liver function, and blood disorders.
Choice C rationale:
Moist buccal mucosa (inner lining of the mouth) is not a specific indicator of the effectiveness of pancreatic enzymes. This observation could be influenced by hydration status and overall oral care.
Choice D rationale:
Glucose presence in urine is more related to diabetes management rather than the effects of pancreatic enzymes in cystic fibrosis. The absence of glucose in urine does not provide information about the efficacy of these enzymes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Instructing the mother in palpation of bladder distention might not effectively address the issue of incomplete bladder emptying. Clean intermittent catheterization is a more appropriate technique to ensure complete emptying.
Choice B rationale:
Informing the mother that life-long antibiotic administration will be necessary is not the primary approach. Antibiotics may be required in specific situations, but addressing incomplete emptying is the key focus.
Choice C rationale:
Preparing the mother for the need for urinary diversion surgery is premature. Clean intermittent catheterization is a conservative measure that should be attempted before considering surgical options.
Choice D rationale:
Instructing the mother in the technique of clean intermittent catheterization helps manage the neurogenic bladder's incomplete emptying. This technique reduces the risk of urinary tract infections and promotes bladder health.
Correct Answer is ["C","D"]
Explanation
Choice A rationale:
The varicella vaccine is not contraindicated solely based on Down Syndrome. It is important for these children to receive immunizations due to potential increased susceptibility to infections.
Choice B rationale:
A 6-month-old developmentally appropriate infant should receive the varicella vaccine according to the recommended schedule. There is no contraindication for this population.
Choice C rationale:
The varicella vaccine might be contraindicated for a child with autism due to concerns about adverse reactions, as these children might have sensitivities to certain vaccine components.
Choice D rationale:
The varicella vaccine should be contraindicated for a 10-year-old with acquired immune deficiency syndrome (AIDS) due to their compromised immune system. Live vaccines like varicella are usually avoided in immunocompromised individuals.
Choice E rationale:
A 12-year-old child with an arm fracture can still receive the varicella vaccine as it is not contraindicated based solely on this condition.
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