The nurse is caring for a child with cystic fibrosis. When assisting the child to the toilet, the nurse should not be surprised to find what type of bowel movement?
Medium formed stool with an orange tint
Liquid stool
Small, round pellet shaped stool
Large, bulky, frothy, greasy, and foul-smelling stool (steatorrhea)
The Correct Answer is D
A. Medium formed stool with an orange tint: Not typical in cystic fibrosis.
B. Liquid stool: While diarrhea can occur, it is not the hallmark of cystic fibrosis-related malabsorption.
C. Small, round pellet-shaped stool: More indicative of constipation, not cystic fibrosis.
D. Large, bulky, frothy, greasy, and foul-smelling stool (steatorrhea): Characteristic of malabsorption caused by pancreatic enzyme insufficiency in cystic fibrosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hoarseness: Hoarseness is a common symptom of croup and is usually not an immediate concern unless accompanied by other severe symptoms.
B. Barky cough: A barky cough is characteristic of croup and is not an indication of immediate concern unless it worsens.
C. Drooling: Drooling can be a sign of respiratory distress and difficulty swallowing, which can indicate a worsening condition such as epiglottitis, a more serious infection that can occur with croup. Drooling is a red flag and requires immediate medical attention.
D. Paroxysmal attacks of laryngeal spasm at night: Paroxysmal attacks (episodes of severe coughing or difficulty breathing) are typical of croup, especially at night, but are usually self-limited and not an immediate cause for concern unless severe.
Correct Answer is ["C","D","G"]
Explanation
- A. Provide oxygen at 6 L/min via nasal cannula: Oxygen is only used if the patient has hypoxemia (O2 saturation below 92%), which is not indicated in this scenario.
B. Perform passive ROM exercises: Not appropriate during a sickle cell crisis due to the risk of exacerbating pain.
C. Administer IV fluids: Essential to reduce blood viscosity and prevent further sickling.
D. Obtain consent for a blood transfusion: Necessary in severe anemia (e.g., hemoglobin of 5 g/dL).
E. Restrict fluid intake to 1,400 mL/day: Fluid restriction is contraindicated; hydration is key to management.
F. Administer meperidine IV: Meperidine is generally avoided due to the risk of neurotoxicity; other opioids (e.g., morphine) are preferred.
G. Encourage bedrest: Reduces oxygen demand during a crisis.
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