The nurse is caring for a child who is receiving a narcotic for pain relief. Which of the following assessment should be a priority in monitoring the child (select all that apply)?

A. Serum calcium:

- Serum calcium levels are not typically used to diagnose cystic fibrosis. Calcium levels are more related to bone health, neuromuscular function, and various metabolic processes. While electrolyte imbalances can occur in CF, serum calcium alone is not specific for its diagnosis.

B. Urine creatinine:

- Urine creatinine is not a diagnostic test for cystic fibrosis. Creatinine is a waste product produced by muscles and excreted by the kidneys. Monitoring creatinine levels is more related to assessing kidney function and is not specific to CF diagnosis.

C. Sweat chloride test:

- The sweat chloride test is considered the gold standard for diagnosing cystic fibrosis. Individuals with CF have higher than normal levels of chloride in their sweat. This test measures the amount of chloride in the sweat, and a high level is indicative of CF. It is a noninvasive and reliable diagnostic test for CF.

D. Bronchoscopy:

- Bronchoscopy is not used as a primary diagnostic test for cystic fibrosis. While it may be performed for other reasons, such as assessing airway abnormalities or obtaining samples for culture, it is not the primary method for diagnosing CF.

A. Separation from parents should be completed by this age

This statement is not accurate. The age at which a child separates from their parents can vary widely and is influenced by cultural, familial, and individual factors. There is no strict rule that separation should be completed by a specific age, and it can vary from one family to another.

B. Daytime attention should be increased

This statement does not directly address the issue of co-sleeping. It suggests increasing daytime attention but does not provide guidance or understanding about the parents' choice to have their child sleep with them.

C. This is a common practice, especially in some cultural groups

This statement recognizes the cultural diversity in child-rearing practices. Co-sleeping is indeed a common practice in many cultures, and acknowledging this fact helps to avoid making value judgments based on one's own cultural perspective.

D. It is illegal for parents to sleep with their children, and this is reportable abuse

This statement is not accurate. Co-sleeping itself is not illegal, and it is not considered abuse. The appropriateness of co-sleeping can depend on various factors, but it is not inherently illegal or abusive.